A young man arrives at the ICU after being held hostage while a passenger on a commercial airplane. He sustained a bullet wound in his chest and has undergone surgery to repair his lung. He is now receiving an analgesic for his pain
The nurse observes that the patient frequently complains that he is sick to his stomach and has no appetite. His sleep is regularly interrupted by nightmares, and he is prone to outbursts of anger and grief. What is the most likely cause of these symptoms?
A) Adverse reaction to pain medication
B) Reaction to severe pain
C) Post-traumatic stress disorder
D) Delirium resulting from an infection
C
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A clinic run by volunteer doctors and nurses belongs in which of the following categories?
A. Voluntary for profit B. Publicly supported C. Not for profit D. Governmental agency
A patient has been admitted to the intensive care unit with the diagnosis of hyperacute liver failure. Which assessment findings would the nurse anticipate in this patient?
1. INR (international normalized ratio) greater than 1.5 2. History of alcohol abuse 3. Jaundice 4. Mental status changes 5. Serum glucose greater than 125 mg/dL
A patient is being discharged with a transdermal nitroglycerin patch. Which instruction should be included in the patient education?
a. "Rotate the patches on nonhairy areas of your body." b. "Apply the patch to the same site every day to maintain consistent drug absorption." c. "If you get a headache, remove the patch for 4 hours, then reapply it." d. "If you get acute chest pain, apply a second patch right next to the first patch."
A patient has experienced a stroke (cerebral vascular accident) that has resulted in dam-age to the Broca area. Which evaluation does the nurse conduct to reinforce this diagno-sis?
a. Observing the patient pick up a spoon b. Asking the patient to recite the alphabet c. Monitoring the patient's blood pressure d. Comparing the patient's grip strength in both hands