Pulmonary disorders can lead to psychiatric disturbances such as anxiety, delirium, and psychosis, especially when accompanied by:

a. paroxysmal cough
b. dependency on supplemental oxygen
c. hypoxia
d. copious amount of sputum


C
Pulmonary disorders, when accompanied by hypoxia, have a greater chance of leading to psychiatric disturbances such as delirium, psychosis, and anxiety. Because of this threat, in some cases of severe breathing problems or shortness of breath, psychiatric treatment may be required if the client does not respond positively to reassurance and medical nursing management.

Nursing

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The nurse uses the otoscope in the physical assessment of a client. The nurse understands that this instrument is used to: Standard Text: Select all that apply

1. Inspect the nose. 2. Funnel light into the ear canal. 3. Inspect the internal structures of the eye. 4. Assess pulses that are not palpable. 5. Detect fungal infections of the skin.

Nursing

The client is experiencing sensory deprivation. The nurse would expect to find which of the following noted in the client's record? (Select all that apply.)

a. confusion d. restlessness b. hallucinations e. drowsiness c. hyperactive reflexes f. improved prob-lem-solving ability

Nursing

A 28-year-old gravida 1, para 0 client who is at term calls the labor and birth unit stating that she thinks she is in labor. She states that she does have some vaginal discharge and feels wet but it is not bloody in nature

a. Ask her if her if she thinks that her membranes have ruptured. b. Ask her if she has any evidence of bloody show. c. Have her keep monitoring her contraction pattern and call you back if they become more regular. d. Ask her when her she has her next scheduled visit with her health care provider. e. Tell her to come into the hospital for evaluation.

Nursing

An aggressive client removes herself from an environment on the unit that is overstimulating. One beneficial approach for the nurse to use with this situation is:

A) Validation. B) Information. C) Reward. D) Commendation.

Nursing