When assessing a client with anxiety, the nurse should recognize that anxiety may often be a result of what?
A) Cognitive deficits
B) Organic brain changes
C) Medications
D) Fluid and electrolyte imbalances
Ans: C
Numerous medications from a variety of drug classes have the potential to cause anxiety. This contribution is more common than anxiety resulting from an organic brain change, a cognitive deficit, or a fluid and electrolyte imbalance, though each is a clinical possibility.
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The nurse is auscultating bowel sounds in the patient. The nurse notes the presence of loud bowel sounds in each quadrant every 3 seconds. The nurse correctly associates these findings as an indication of:
a. diarrhea. b. paralytic ileus. c. normal sounds. d. constipation.
A nurse interviews a homeless parent with two teenage children. To best assess the family's use of resources, the nurse should ask
a. "Can you describe a problem your family has successfully resolved?" b. "What community agencies have you found helpful in the past?" c. "Do you feel you have adequate resources to survive?" d. "What is one thing you dislike about this family?"
A client is diagnosed with emphysema. For which of the following hematologic disorders should the nurse include in the assessment of this client?
1. Hemolytic anemia 2. Disseminated intravascular coagulation 3. Polycythemia 4. Hemophilia
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1. "Can you describe your hallucinations?" 2. "Were you ever abused as a child?" 3. "Can you describe for me the charges against you?" 4. "Can you explain why you would want to assault your brother?"