Which assessment findings should the nurse anticipate if a client is diagnosed with post-traumatic stress disorder?
A. Tachycardia
B. Panic attacks
C. Inability to focus
D. A fear of exposure to germs
E. Hallucinations
Answer:
A. Tachycardia
B. Panic attacks
C. Inability to focus
E. Hallucinations
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A client with respiratory failure was intubated with an oral endotracheal (ET) tube 2 hours ago. Suspecting that the tube has changed position slightly since insertion, the nurse would assess the
a. results of the chest x-ray film taken 2 hours earlier. b. current oxygen saturation readings. c. status of the client's breath sounds. d. position of the numbers on the ET tube at the lip line.
A nurse practitioner was working in the emergency department when a child with a stab wound in the abdomen was brought in by his mother. The mother explained that the child apparently had gone quietly into the kitchen, climbed up on a chair, and was peeling an apple when he fell and the paring knife went into his tummy. She heard his screams and brought him to the emergency department. What will the advanced practice nurse want to be sure to do?
a. Ask the child what really happened. b. Ask the mother why the child was still hungry after bedtime. c. Examine the child carefully for evidence of past injuries. d. Stitch the wound, order an antibiotic, and apply a small dressing.
Which situation is associated with and aging organization?
A) Retired staff is replaced with new graduate nurses B) State-of-the-art cardiac monitoring equipment is placed in the ICU C) The unit functions with strict adheres to institutional rules and policies D) A suggestion committee composed of staff and management meets monthly