A patient with panic attacks awakens from sleep complaining of chest pain. The patient is diaphoretic and breathlessly says, "I feel like I'm going to die." Select the nurse's priority action

a. Have the patient lie flat and relax.
b. Bring the crash cart to the patient's room.
c. Shake the patient and shout, "Are you okay?"
d. Instruct the patient to breathe into a paper bag.


D
Hyperventilation should be addressed immediately by having the patient breathe using a paper bag. Bringing breathing under control will help diminish the other symptoms. The calm presence of the nurse is vital to symptom reduction. The other interventions would not be effective in relieving the hyperventilation.

Nursing

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A patient is hospitalized with cryptococcal pneumonia and AIDS. What is the most important standard precaution for the health care team to implement?

a. Hands are washed before and after glov-ing. b. After gloves are put on, they do not need to be changed until care is finished. c. Needles and sharps should be placed in puncture-resistant containers on the medi-cine cart out of the room. d. Mouth-to-mouth resuscitation must be performed immediately unless the patient is a designated as "do not resuscitate."

Nursing

A research study in a laboratory setting incorporates four groups (two control and two experimental) in which only one experimental group and one control group are pretested, while all four groups are posttested

Which descriptions of the design are accurate? (Select all that apply.) a. Experimental design b. After-only experimental design c. Real-world experimental design d. Quasi-experimental design e. Solomon four-group design

Nursing

The nurse caring for a child with acute lymphocytic leukemia is aware that once chemotherapy begins, there is a release of purines from the destroyed leukemic lymphoblasts, which can lead to which of the following problems?

a. tumor lysis syndrome c. altered mental states b. metastasis to the lungs d. gout

Nursing

A new nurse says to a peer, "My newest patient has schizophrenia. At least I won't have to worry about suicide risk." Which response by the peer would be most helpful?

a. "Let's reconsider your plan. Suicide risk is high in patients with schizophrenia." b. "Suicide is a risk for any patient with schizophrenia who uses alcohol or drugs." c. "Patients with schizophrenia are usually too disorganized to attempt suicide." d. "Visual hallucinations often prompt suicide among patients with schizophrenia."

Nursing