The nurse is contributing to the plan of care for a surgical patient. The nurse recognizes that the most common human response to the stress associated with surgery is which of the following?
a. Anxiety
b. Depression
c. Delirium
d. Fear
ANS: A
Anxiety is a feeling of apprehension or uneasiness resulting from the uncertainties and risks associated with surgery, whereas fear, a feeling of dread from a source known to the patient, is an extreme reaction to surgery.
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The nurse accepts the newborn in the delivery room and performs an Apgar assessment at one minute of life. The infant is crying vigorously, has a heart rate of 160, is actively moving all extremities, and has blue hands and feet
The nurse scores the infant as an Apgar of: 1. 6. 2. 7. 3. 8. 4. 9.
The patient is scheduled to begin treatment with sumatriptan (Imitrex). Before initiating treat-ment with the drug, the primary care provider should plan to screen the patient for evidence of which of the following conditions?
a. Coronary disease b. Chronic obstructive pulmonary disease c. Hypertension d. Psychiatric disorders
A patient who has been on antibiotic therapy for several months has been diagnosed with Clostridium difficile. Which of the following should be done to help this patient?
1. Discontinue the antibiotics. 2. Change the antibiotic to penicillin. 3. Change the antibiotic to erythromycin. 4. Instruct the patient to avoid raw fruits and vegetables.
Of the following individuals, who can best determine the experience of pain?
A) the person who has the pain C) the nurse caring for the patient B) the person's immediate family D) the physician diagnosing the cause