A nurse in the busy orthopedic unit develops symptoms of stress due to the employer's frequent requests for help because of understaffing. Which of the following symptoms is an indication that the nurse is under stress?

A) Increased ability to concentrate
B) Decreased smoking
C) Sleep disturbances
D) Lack of appetite


C

Nursing

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The nurse is caring for a patient with extreme heat exposure. The nurse explains to the patient and family that normally cutaneous blood vessels dilate to help reduce core body temperature

The nurse would be most accurate in stating that these vessels are located in what layer of the skin? A) Epidermis B) Papillary dermis C) Reticular dermis D) Hypodermis

Nursing

The nurse manager is concerned about a family member?s complaint regarding professional behavior of a nurse on the unit. Which is the most effective method to address this issue?

1. Post a memo to the nursing staff about expected professional behavior. 2. Send an e-mail to the nursing staff about expected professional behavior. 3. Address the complaint with the individual nurse via the telephone. 4. Discuss the complaint with the individual nurse face to face.

Nursing

The client with an anxiety disorder is ready to be discharged from the unit. What should the nurse plan to teach this client and family in preparation for discharge?

Select all that apply. A) Refer the client for counseling. B) Instruct the client to eat foods high in acid. C) Teach the client the signs of impending panic attack. D) Advise the client to breathe into a paper bag when feeling anxious. E) Instruct the client to breathe slowly.

Nursing

Which disorder of the thorax or lung does this best describe?

A 21-year-old college senior presents to your clinic, complaining of shortness of breath and a nonproductive nocturnal cough. She states she used to feel this way only with extreme exercise, but lately she has felt this way continuously. She denies any other upper respiratory symptoms, chest pain, gastrointestinal symptoms, or urinary tract symptoms. Her past medical history is significant only for seasonal allergies, for which she takes a nasal steroid spray but is otherwise on no other medications. She has had no surgeries. Her mother has allergies and eczema and her father has high blood pressure. She is an only child. She denies smoking and illegal drug use but drinks three to four alcoholic beverages per weekend. She is a junior in finance at a local university and she has recently started a job as a bartender in town. On examination she is in no acute distress and her temperature is 98.6. Her blood pressure is 120/80, her pulse is 80, and her respirations are 20. Her head, eyes, ears, nose, and throat examinations are essentially normal. Inspection of her anterior and posterior chest shows no abnormalities. On auscultation of her chest, there is decreased air movement and a high-pitched whistling on expiration in all lobes. Percussion reveals resonant lungs. A) Spontaneous pneumothorax B) Chronic obstructive pulmonary disease (COPD) C) Asthma D) Pneumonia

Nursing