Mr. L, who has a severe fear of needles, is hospitalized on your medical unit. The laboratory technician enters to draw blood for the routine CBC, and Mr. L begins to cry out, "Get away from me! I can't breathe! I'm having a heart attack!" What should be your first response to Mr. L?
"Relax. Take a few deep breaths. I'll stay with you."
"I'll take your vital signs and call my supervisor."
"Don't worry. She's done this many times before."
"Why do you think you're having a heart attack, Mr. L?"
The Correct Answer is A
Choice A reason: This response is calming and supportive. It addresses Mr. L's immediate distress by providing reassurance and a directive that can help him manage his panic, which is essential in a situation where a patient is experiencing extreme anxiety.
Choice B reason: While taking vital signs is an important step, it should not be the first response. The priority is to address the patient's acute distress and provide reassurance.
Choice C reason: This response minimizes the patient's feelings and does not address his immediate fear or offer any comfort or support.
Choice D reason: Asking why he thinks he's having a heart attack could increase his anxiety. It's important to first calm the patient before attempting to rationalize the situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: While bulimia can contribute to gastrointestinal issues, it is not as directly linked to peptic ulcers as the use of nonsteroidal anti-inflammatory drugs (NSAIDs).
Choice B reason: Drinking green tea is not typically associated with an increased risk of peptic ulcers.
Choice C reason: Consuming spicy foods is a commonly believed risk factor, but it is not supported by strong evidence as a direct cause of peptic ulcers.
Choice D reason: The use of NSAIDs, such as ibuprofen, is a well-established risk factor for the development of peptic ulcers due to their effect on the stomach lining.
Correct Answer is B
Explanation
Choice A reason: While legs feeling heavy can be a common sensation after a spinal block, it is not as concerning as other potential symptoms.
Choice B reason: Hypotension is a significant concern following a spinal block as it can indicate a high level of blockage affecting the autonomic nerves, which can lead to serious complications.
Choice C reason: Numbness below the injection site is expected after a spinal block and is not typically a cause for concern unless it is prolonged or accompanied by other symptoms.
Choice D reason: Nausea can occur but is less concerning than hypotension, which can have more immediate and severe consequences.
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