A nurse identifies that a client is in Phase 1 of the developmental stages of a crisis. Which symptoms should the nurse anticipate when caring for this client?
A) The individual may try to view the problem from a different perspective, or even to overlook certain aspects of it.
B) Cognitive functions are disordered, emotions are labile, and behavior may reflect the presence of psychotic thinking.
C) The client has developed anxiety.
D) Feelings of confusion and disorganization prevail.
C
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A nurse is caring for a client who is prescribed transdermal nitroglycerin for angina. The nurse instructs the client to apply the patch for how long?
A) 4 to 6 hours B) 6 to 8 hours C) 10 to 12 hours D) 12 to 14 hours
Which comment made by the client with breast cancer indicates correct understanding regarding cancer causes and prevention?
A. "I will cure my cancer by eating a low-fat diet from now on." B. "If I had breast-fed my children, this would not have happened to me." C. "I hope this doesn't increase my risk for bone cancer or lung cancer." D. "I will have regular mammograms on my other breast to detect cancer early."
The patient's ECG shows the following characteristics: PR interval 0.08, QRS 0.08, and isoelectric ST segment. The nurse realizes that these characteristics indicate which condition?
1. Faster-than-normal conduction from the SA node to the ventricles, normal conduction through the ventricles, and normal ST segment 2. Faster-than-normal conduction from the SA node to the ventricles, faster-than-normal conduction through the ventricles. and normal ST segment 3. Normal conduction from the SA node to the ventricles, normal conduction through the ventricles, and normal ST segment 4. Normal conduction from the SA node to the ventricles, normal conduction through the ventricles, and abnormal ST segment
A patient undergoes a left above-the-knee amputation with an immediate prosthetic fitting. When the patient arrives on the orthopedic unit after surgery, the nurse should
a. place the patient in a prone position.
b. check the surgical site for hemorrhage.
c. remove the prosthesis and wrap the site.
d. keep the residual leg elevated on a pillow.