The clinic nurse is caring for a patient who has recently been involved in an automobile accident
The patient was the driver of the car and his passenger died. The patient arrives in the clinic with complaints of nightmares, inability to concentrate, and impaired memory. What would you know the patient is most likely experiencing?
A) Posttraumatic stress disorder
B) Developmental difficulties
C) Drug addiction
D) Mild stress
Ans: A
Feedback: Patients with posttraumatic stress syndrome have difficulty sleeping, an exaggerated startle response, excessive vigilance, increased urinary epinephrine levels, and increased body metabolism. The symptoms the patient is experiencing are not indicative of developmental difficulties, drug addiction, or mild stress.
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Which assessment would the nurse particularly want to make when first visiting a 70-year-old client who lived at home alone and was being seen for a follow-up visit after an outpatient surgical procedure? Select all that apply
A. Ability to get out and walk for about 30 minutes a day B. Any problem with constipation or need for laxatives C. Appetite and appeal of food both visually and in taste D. Current use of prescription drugs and over-the-counter medications E. Orientation to time, place, and person F. Who was going to be responsible for the client and the client's care
A client who is anxious about an impending surgery is at risk for respiratory alkalosis. For which signs and symptoms of respiratory alkalosis does the nurse assess this client?
A. Disorientation and dyspnea B. Drowsiness, headache, and tachypnea C. Tachypnea, dizziness, and paresthesias D. Dysrhythmias and decreased respiratory rate and depth
Reabsorption of water in the collecting ducts requires which hormone?
a. Antidiuretic hormone (ADH) b. Atrial natriuretic factor (ANP) c. Renin d. Aldosterone
A low air loss bed may be ordered when the patient
A. is at risk for contractures. B. is dehydrated. C. has malnutrition and edema. D. has pressure ulcers.