The nurse demonstrates an understanding of the physical effects of posttraumatic stress disorder (PTSD) when implementing which intervention for a patient who was abducted and assaulted three months ago?
a. Regular evaluations for suicidal thoughts
b. Explaining the need for appropriate use of a rescue inhaler
c. Providing reinforcement for the patient's new exercise program
d. Evaluating the patient's understanding of the proper use of analgesic medications
ANS: D
The presence of PTSD—particularly among those who have been exposed to violent crimes—demonstrates a heightened risk for negative health outcomes that include cardiac disease, intestinal problems, and chronic pain as common disorders found in patients with PTSD. Although suicide and stress certainly have a physical impact, they are considered psychiatric disorders. Respiratory issues are more related to anxiety disorders.
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A group of students are studying for a test on child health statistics. The students demonstrate that they are prepared for the test when they identify which of the following as a major cause of death in the 1- to 4-year-old population?
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The physician orders 100 mL lactated Ringer solution to be infused at 20 gtt/min. The administration set delivers 60 gtt/mL. How long will it take to infuse the IV? _______________
a. 3 hr and 30 min b. 5 hr c. 4 hr d. 1 hr and 45 min
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A client received epidural anesthesia during the first stage of labor. The epidural is discontinued immediately after delivery. This client is at increased risk for which problem during the fourth stage of labor?
1. Nausea 2. Bladder distention 3. Uterine atony 4. Hypertension