A nurse is collecting data from a client who has anemia due to excessive blood loss during surgery. Which of the following findings should the nurse expect?

Respiratory depression

Intense abdominal pain

Bradycardia

Dyspnea on exertion

Answer and Explanation

The Correct Answer is D

Choice A reason: Respiratory depression is not a typical finding associated with anemia; it is more related to respiratory or central nervous system issues.

Choice B reason: Intense abdominal pain is not a common symptom of anemia and would likely indicate other medical conditions.

Choice C reason: Bradycardia, or slow heart rate, is not commonly associated with anemia. Anemia usually causes tachycardia, or a fast heart rate, as the body attempts to compensate for the reduced oxygen-carrying capacity of the blood.

Choice D reason: Dyspnea on exertion is a common symptom of anemia, as the reduced number of red blood cells leads to decreased oxygen delivery to the tissues, causing shortness of breath during activities.

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Correct Answer is A

Explanation

Choice A reason: This response acknowledges the client's feelings without agreeing with the delusion or challenging their reality, which can help in building trust and rapport.

Choice B reason: Asking "Why do you think you are being lied about and poisoned?" could potentially reinforce the delusion and lead the client to further justify their beliefs.

Choice C reason: Directly telling the client they are mistaken can be confrontational and may damage the therapeutic relationship.

Choice D reason: Asking "Who is lying about you and trying to poison you?" can validate the delusion and is not a therapeutic response.

A. Tell them everything will be okay. B. Include family members in teaching. C. Identify knowledge deficiencies. D. Provide the patient with written and verbal materials. E. Determine the patient's anxiety levels. F. Document patient understanding and teaching provided.

Correct Answer is ["B","C","D","E","F"]

Explanation

Choice A reason: Telling the patient everything will be okay is not an appropriate intervention as it does not address the specific educational needs related to their knowledge deficit.

Choice B reason: Including family members in teaching can provide additional support and help reinforce the information provided to the patient.

Choice C reason: Identifying knowledge deficiencies is essential to tailor the education to the patient's specific needs.

Choice D reason: Providing written and verbal materials can help the patient understand and remember the information about their surgery and care.

Choice E reason: Determining the patient's anxiety levels can help the nurse address any concerns or fears that may affect their learning.

Choice F reason: Documenting patient understanding and teaching provided is important for continuity of care and to ensure that the patient has received and understood the necessary information.

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A nurse is collecting data from a client who has anemia due to excessive blood loss during surgery. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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Explanation

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