A nurse is assessing a client who has posttraumatic stress disorder following military combat. Which of the following findings should the nurse expect?

Requests opportunity to discuss trauma

Reports recurrent nightmares

Indicates working extra hours

Exhibits diminished reflexes

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Requesting an opportunity to discuss trauma might be indicative of the client's desire to process their experiences, but it's not a specific symptom of PTSD.

Choice B rationale:

Recurrent nightmares are a common symptom of PTSD, often related to the traumatic event.

Choice C rationale:

Indicating working extra hours is not a specific symptom of PTSD.

Choice D rationale:

Exhibiting diminished reflexes is not a typical symptom of PTSD.

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Correct Answer is A

Explanation

Choice A rationale:

Elevating the head of the bed can help prevent intracranial pressure by promoting venous drainage from the head.

Choice B rationale:

Premature newborns need to rest and conserve energy, so excessive stimulation every 2 hours is not recommended.

Choice C rationale:

Placing the newborn in a radiant warmer helps maintain a stable body temperature, but it does not directly address intracranial pressure.

Choice D rationale:

Administering hypertonic solution is not a standard intervention for decreasing intracranial pressure in a premature newborn.

A. Apply lotion to the incisional site twice daily. B. Avoid measuring blood pressure on the affected arm. C. Apply deodorant under the affected arm daily. D. Avoid lifting objects greater than 5.4 kg (12 lb).

Correct Answer is B

Explanation

Choice A rationale:

Applying lotion to the incisional site may not be recommended as it could potentially irritate the incision or interfere with wound healing.

Choice B rationale:

Avoiding blood pressure measurements on the affected arm is important to prevent compromising lymphatic flow and potentially exacerbating lymphedema, a common complication after a modified radical mastectomy.

Choice C rationale:

Applying deodorant under the affected arm is discouraged, as it may contain chemicals that could irritate the surgical area.

Choice D rationale:

While lifting heavy objects is generally discouraged after surgery, the specific weight mentioned (5.4 kg or 12 lb) is not consistently supported as a limitation in post- mastectomy care.

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A nurse is assessing a client who has posttraumatic stress disorder following military combat. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn who was born prematurely at 26 weeks. Which of the following interventions should the nurse take to decrease the newborn's risk of increased intracranial pressure?

Correct Answer is A

Explanation

A nurse is providing discharge teaching about lymphedema prevention to a client who is 2 days postoperative following a modified radical mastectomy. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

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