A 60-year-old man was admitted for cholecystitis that resulted in a cholecystectomy. On his third day of hospitalization, he begins to sweat profusely, tremble, and has a blood pressure of 160/100. Based on these findings, what focused assessment should the nurse complete?
Withdrawal problems
Circulatory problems
Cardiac problems
Respiratory problems
The Correct Answer is A
A. Withdrawal problems: These symptoms are consistent with alcohol or drug withdrawal, which can occur in hospitalized patients with a history of substance use.
B. Circulatory problems: While hypertension is a circulatory issue, the sweating and trembling suggest withdrawal rather than primary circulatory problems.
C. Cardiac problems: While important to rule out, the combination of symptoms points more towards withdrawal.
D. Respiratory problems: The primary symptoms here are not indicative of respiratory issues.
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Related Questions
Correct Answer is A
Explanation
A. Denial: Denial is a common initial reaction to bad news, where the individual is unable to accept the reality of the situation. The father's planning for the future as if his daughter will recover is indicative of denial.
B. Reconciliation: Reconciliation is not typically used as a term to describe a stage of grief or crisis response. It usually refers to the process of making peace with a situation, which does not fit the father's current behavior.
C. High anxiety: High anxiety would likely manifest as visible stress, agitation, or frantic behavior, not the calm and hopeful planning described.
D. Adaptation: Adaptation involves adjusting to a new reality and moving forward. The father's behavior suggests he has not yet accepted the reality of his daughter's condition, which rules out adaptation.
Correct Answer is C
Explanation
A. "I wouldn't need to drink if I had my family back." This statement shifts the focus from personal responsibility for drinking to external factors.
B. "My drinking helps me cope with the stress of my job." This indicates a belief in using alcohol as a coping mechanism rather than recognizing the impact of drinking itself.
C. "All my difficulties are related to my drinking." Recognizing that difficulties are related to drinking shows insight and a step towards taking responsibility for the problem.
D. “I drink because I'm lonely.” While this indicates awareness of a trigger, it does not demonstrate the same level of insight into the central role of drinking in the patient’s difficulties.
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