A nurse is teaching a class about the physical manifestations of grief. Which of the following manifestations should the nurse include?
Insomnia
Bradycardia
Blurred vision
Increased ability to concentrate
The Correct Answer is A
A. Insomnia: Physical manifestations of grief often include insomnia, fatigue, appetite changes, headaches, and muscle tension due to the emotional and psychological stress of loss.
B. Bradycardia: Bradycardia is not a common physical manifestation of grief. Increased stress may more commonly cause tachycardia.
C. Blurred vision: While stress-related symptoms can occur, blurred vision is not typically associated with grief.
D. Increased ability to concentrate: Grief often reduces the ability to concentrate, not increases it.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Aggravating and alleviating factors: The patient has not identified any factors that worsen or relieve the pain.
B. Exacerbation, with associated signs and symptoms: There is no indication of exacerbating factors or associated symptoms in this description.
C. Intensity, temporal characteristics, and functional impact: The intensity (e.g., 1-10 scale), temporal characteristics (pattern over time), or functional impact on daily activities were not mentioned.
D. Location, quality, and duration. The patient described: Location: The foot and calf. Quality: "Feels like it is on fire" (neuropathic pain). Duration: Pain began yesterday.
Correct Answer is A
Explanation
A. Level of sedation. Assessing sedation is the priority because excessive sedation could indicate opioid toxicity, which may precede respiratory depression.
B. Pain level. While assessing pain is essential, it is not the priority when evaluating the safety of opioid administration.
C. Pulse oximetry. Monitoring oxygenation is critical but follows the assessment of sedation, which directly relates to the risk of respiratory depression.
D. Blood pressure. Blood pressure monitoring is important but not as immediate a concern as sedation and respiratory function.
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