A nurse in a mental health facility is reinforcing teaching with a client about panic attacks.Which of the following statements by the client indicates an understanding of the instructions?
"I will sit with others in the activity room until the panic attack subsides."
"I will use abdominal breathing at the first sign of a panic attack."
"I will reduce physical activity to help avoid panic attacks."
"I will expect each panic attack to last about 45 minutes."
The Correct Answer is B
The correct answer is B.
"I will use abdominal breathing at the first sign of a panic attack." The rationale is that abdominal breathing helps calm the sympathetic nervous system, which is responsible for the fight-or-flight response that triggers panic attacks. Abdominal breathing also increases oxygen intake and reduces hyperventilation, which can worsen panic symptoms.
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Correct Answer is B
Explanation
The correct answer is B. Placement of a central venous catheter.
Rationale: The nurse should identify that informed consent is required for the placement of a central venous catheter, as this is an invasive procedure that carries significant risks and benefits that need to be explained to the client before obtaining consent. Informed consent is not required for irrigation of a wound with antibiotic solution, as this is a routine nursing intervention that does not involve significant risks or benefits.
Informed consent is not required for the insertion of a nasogastric tube, as this is a common nursing procedure that does not involve significant risks or benefits. Informed consent is not required for the administration of an iron injection using the Z-track technique, as this is a standard medication administration technique that does not involve significant risks or benefits.
Correct Answer is A
Explanation
To calculate the percentage of weight loss, we can use the formula:
Percentage of weight loss = (Weight loss / Original weight) * 100
Given that the client lost 6.8 kg (15 lb) from an original weight of 90.7 kg (200 lb), we can substitute these values into the formula:
Percentage of weight loss = (6.8 kg / 90.7 kg) * 100 Percentage of weight loss = 0.0749 * 100 Percentage of weight loss = 7.49%
The percentage of weight loss is approximately 7.49%.
Since none of the provided answer options exactly match this calculated percentage, the closest option is:
So, the nurse should identify the weight loss as approximately 7.5%.
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