In conducting a health interview with a hypertensive client, the nurse would ask the client about the presence of the typical manifestations of the disorder, which are
a. increasing muscle weakness.
b. nausea, vomiting, and abdominal pain.
c. none unless the hypertension is sustained.
d. peripheral edema and abdominal bloating.
C
Typically the hypertensive client has no manifestations, which contributes to noncompliance. If the disorder goes undiagnosed, eventually the blood pressure will rise high enough to cause per-sistent headaches, fatigue, dizziness, palpitations, flushing, blurred or double vision, or epistaxis.
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A nurse should monitor an infant who has respiratory distress syndrome (RDS) for symptoms of:
a. metabolic acidosis b. metabolic acidosis and respiratory acidosis c. respiratory acidosis d. respiratory acidosis and respiratory alkalosis
A client tells the nurse that sleep last night was interrupted because of a sick child. In order to determine the client's mental health status, the nurse should ask the client whether:
1. interrupted sleep is a normal pattern. 2. the client owns a home. 3. the client lives with anyone. 4. the client is financially sound.
A mental health nurse is developing a plan of care for a new client diagnosed with a dissociative disorder
A nursing intervention that is important to include in the plan of care for this client is to encourage and support the client in the achievement of control over anxiety and previous dissociative response to those situations that trigger the symptoms. Why is this intervention so important? A) Clients are afraid of their self-destructive behaviors. B) These clients need a safe environment to protect themselves from self-injury. C) Use stimuli that stimulate pleasant memories and pleasurable feelings for the client. D) Clients are overwhelmed with fear of not knowing or being out of control.
After talking to a group of parents at the local middle school about spanking, the nurse realizes that most parents need more education on this topic. Which statements made by the parents indicate this need? Select all that apply
A) "If we don't spank, our children will be spoiled or run wild." B) "Authority figures such as parents should be trusted and respected, not feared." C) "Hitting increases the probability that aggression will be seen as an appropriate way to handle conflicts." D) "Parents spank only for serious problems." E) "Spanking is needed as a last resort."