Ayoung adult arrives in the emergency department (ED) with multiple abrasions after a motor vehicle accident and has an initial blood pressure (BP) of 180/98. Which of the following interventions should the nurse implement?
Choose correct answer/s
Discuss the need for hospital admission to control blood pressure.
Change the dressing on the abrasions and discuss the risks associated with hypertension.
Recheck the blood pressure before the client's discharge from the ED.
Start an intravenous (IV) line to administer antihypertensive medications.
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Question 2
Free
Multiple Choice
Ahospitalized client who is usually well organized and calm is receiving diabetic teaching after being newly diagnosed with diabetes. The client is forgetful, irritable, and has poor concentration. Which action should the nurse take?
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Ask the health care provider for a psychiatric referral.
Administer the PRN sedative medication every 4 hours.
Suggest the use of a home caregiver to the client's family.
Plan to reinforce and repeat teaching about diabetes management.
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Question 3
Free
Multiple Choice
The nurse is caring for a client who has been hospitalized following a heart attack and tells the nurse, "I didn't sleep last night because I worried about missing work and losing my insurance coverage." Which nursing diagnosis is appropriate to includeintheplan of care?
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Anxiety
Defensive coping
Ineffective denial
Risk prone-health behaviour
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Question 4
Free
Multiple Choice
The nurse is assisting with a breast biopsy for an alert client who has a lump in the right breast. Which relaxation technique will be best to use at this time?
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Massage
Meditation
Guided imagery
Relaxation breathing
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Question 5
Free
Multiple Choice
The nurse is preparing a health-promotion session on meditation for older adults at a community centre. Which of the following points should the nurse include in the session?
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Have clients bring earphones to the session.
Breathing pattern to slowly increase speed.
Allow a 10-20 minute time frame for meditation.
Practise two to three times per week.
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Question 6
Multiple Choice
When choosing music to help relax a client who is having a painful dressing change, which action is best for the nurse to take?
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Use music composed by Mozart.
Ask the client about music preferences.
Select music that has 60-80 beats/minute.
Encourage the client to use music without words.
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Question 7
Multiple Choice
The nurse is teaching a hospitalized client to use imagery as a relaxation technique. Which statement by the nurse is appropriate?
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"Place your stress in the image of a form you can destroy."
"Think of a place where you feel peaceful and comfortable."
"Bring what you hear and sense in your present environment into your image of the scene."
"If your scene is stressful to you, continue visualizing until you can overcome the distress."
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Question 8
Multiple Choice
An overweight client who enjoys active outdoor activities develops arthritis in the knees. Which action by the nurse is most appropriate to assist the client in coping with the diagnosis?
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Ask the client to discuss feelings about the diagnosis.
Have the client practise frequent relaxation breathing.
Educate the client on the use of imagery to decrease pain and decrease stress.
Encourage the client to think about how weight loss might improve symptoms.
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Question 9
Multiple Choice
The nurse is caring for a hospitalized client with diabetes who states to the nurse, "I don't understand why I can keep my blood sugar under control at home with diet alone, but when I get sick, my blood sugar goes up." Which response by the nurse is appropriate?
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"It is probably just coincidental that your blood sugars are high when you are ill."
"Stressors such as illness cause the release of hormones that increase blood sugar."
"Increased blood sugar occurs because the kidneys are not able to metabolize glucose as well during stressful times."
"Your diet is different here in the hospital than at home and that is the most likely cause of the increased glucose level."
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Question 10
Multiple Choice
Which action should the nurse take to monitor the effects of an acute stressor on a hospitalized client? (Select all that apply.)