A client diagnosed with post-traumatic stress disorder is demonstrating signs of increased arousal. Which of the following did the nurse most likely assess in this client?
1. Sleep disturbance
2. Crying
3. Irritability
4. Angry outbursts
5. Exaggerated startle response
6. Sleeping
1, 3, 4, 5
Signs of increased arousal include sleep disturbances, irritability, angry outbursts, difficulty concentrating, hypervigilance, and exaggerated startle response. Crying and sleeping are not signs of increased arousal.
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A parent reports that her five-year-old child, who has had all recommended immunizations, had a mild fever one week ago and now has bright red cheeks and a lacy red maculopapular rash on the trunk and arms
The nurse recognizes that this child might have: 1. Rubeola (measles). 2. German measles (rubella). 3. Chickenpox (varicella). 4. Fifth disease (erythema infectiosum).
A nurse is creating an education plan for a patient with venous insufficiency. What measure should the nurse include in the plan?
A) Avoiding tight-fitting socks. B) Limit activity whenever possible. C) Sleep with legs in a dependent position. D) Avoid the use of pressure stockings.
A patient who is recovering from a STEMI 3 months prior is in the clinic for a follow-up evaluation. The patient is taking 81 mg of aspirin, a beta blocker, and an ACE inhibitor daily and uses nitroglycerine as needed for angina
The patient's BMI is 24.5 kg/m2, and serum LDL is 150 mg/dL. The patient has a blood pressure of 135/80 mm Hg. What will the nurse expect the provider to order for this patient? a. An antihypertensive medication b. Counseling about a weight loss diet c. Discontinuing the ACE inhibitor d. High-dose statin therapy
Which vaccine is now recommended for the immunization of all newborns?
a. Hepatitis A vaccine b. Hepatitis B vaccine c. Hepatitis C vaccine d. Hepatitis A, B, and C vaccines