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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Electroconvulsive therapy (ECT) is typically administered as a series of treatments, often ranging from 6 to 12 sessions, to achieve optimal therapeutic effects.
Choice B rationale:
ECT can provide relief from severe depressive symptoms, but it is not necessarily considered a "cure" for depression.
Choice C rationale:
ECT is not usually accompanied by antianxiety medication during the treatments.
Choice D rationale:
Recovery from ECT typically occurs within minutes after the treatment, not after 2 hours.
Correct Answer is B
Explanation
Choice A rationale:
Phenytoin should be administered slowly to avoid adverse effects. Infusing 800 mg over 5 minutes is too rapid and can lead to cardiovascular complications.
Choice B rationale:
Rationale: After administering phenytoin via IV, it's important to flush the IV line with normal saline (0.9% sodium chloride) to ensure the medication is fully delivered to the client and to prevent any residual medication from precipitating in the IV line.
Choice C rationale:
Flushing with heparin is not standard practice for administering phenytoin.
Choice D rationale:
Phenytoin should be administered in normal saline, not in D5W (dextrose 5% in water), to avoid precipitation.
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