The nurse is caring for a patient receiving a spinal block. Which symptom would most concern the nurse?

Legs feeling heavy.

Hypotension.

Numbness below the injection site.

Nausea.

Answer and Explanation

The Correct Answer is B

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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Free Nursing Study Resources

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

Explanation

Choice A reason: Forming new relationships easily is not typically associated with PTSD.

Choice B reason: Chemical dependency can be a coping mechanism for those with PTSD.

Choice C reason: Feelings of low self-esteem are common in individuals with PTSD.

Choice D reason: Social integration is not a symptom of PTSD; rather, individuals may struggle with social interactions.

Choice E reason: Flashbacks are a hallmark symptom of PTSD, where individuals relive the traumatic event.

Choice F reason: Irritability is a common symptom of PTSD, often due to heightened arousal and anxiety.

A. Make decisions for the patient at the patient's request. B. Avoid situations that the patient may perceive as demeaning. C. Greatly limit social contact to decrease the chance of regressing to prior problematic behavior. D. Avoid discussing the treatment plan to decrease the chance of the patient manipulating the plan. E. Maintain honest, open communication

Correct Answer is ["A","C","E"]

Explanation

Choice A reason: Making decisions for the patient can undermine their autonomy and is not therapeutic in treating Paranoid Personality Disorder.

Choice B reason: Avoiding situations that the patient may perceive as demeaning is actually an appropriate intervention, as it helps to build trust and rapport.

Choice C reason: Greatly limiting social contact is not recommended as it can increase feelings of isolation and paranoia.

Choice D reason: Avoiding discussion of the treatment plan is not appropriate; patients should be involved in their care decisions to the greatest extent possible.

Choice E reason: Maintaining honest, open communication is an appropriate and necessary intervention for building a therapeutic relationship with a patient with Paranoid Personality Disorder.

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The nurse is caring for a patient receiving a spinal block. Which symptom would most concern the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Symptoms of Post-Traumatic Stress Disorder include: (select all that apply)

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

Explanation

Which of the following are NOT appropriate nursing interventions for Paranoid Personality Disorders? (Select all that apply.)

Correct Answer is ["A","C","E"]

Explanation

A nurse is caring for a client during the immediate postoperative period following thoracic surgery. When administering an opioid analgesic for pain, the nurse should explain that the medication should have which of the following effects?

A nurse is reinforcing discharge teaching with an older adult client who has peripheral artery disease (PAD). Which of the following instructions should the nurse include in the teaching?

After positioning the patient on the surgical table and applying the safety strap, the surgical team pauses and verifies the patient and surgical information. What is this called?

A nurse is caring for a client who has schizophrenia. The client states, "They lie about me all the time and are trying to poison my food." Which of the following responses should the nurse make?

Patients who display very bizarre behavior but who are still functional in society are most likely to have which of the following types of personality disorder?

The nurse is reinforcing teaching provided to a patient with Raynaud's disease. Which measure should the nurse include to prevent an attack?

Nurses understand that patients who deliberately pretend to be ill are:

The nurse is assisting in the care of a preoperative patient. The patient states, "I'm really afraid that I won't make it through the surgery." Which action by the nurse is appropriate?