The nurse is caring for a patient who is one day post-mastectomy and notes that she is sobbing and gasping for breath. What should the nurse do first?

Notify the registered nurse.

Raise the head of the bed.

Sit with her and listen to her concerns.

Ask the patient what is wrong.

Answer and Explanation

The Correct Answer is B

Choice A reason: Notifying the registered nurse is important but should come after initially assessing the patient's immediate needs.

Choice B reason: Raising the head of the bed may help with breathing but does not address the cause of the patient's distress.

Choice C reason: Sitting with her and listening to her concerns is supportive but should follow an initial assessment of why she is sobbing and gasping for breath.

Choice D reason: Asking the patient what is wrong is the first step in assessing the situation and providing appropriate care.

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Correct Answer is B

Explanation

Choice A reason: While providing information on stress reduction is helpful, it is not the immediate priority.

Choice B reason: Assisting the client to identify triggers is a priority as it directly addresses the cause of the OCD behaviors.

Choice C reason: Speaking to the client in a calm manner is supportive but does not address the underlying OCD behaviors.

Choice D reason: Identifying anxiety levels can be part of the intervention, but it is not as specific as identifying triggers for the OCD behaviors.

A. Purple lesions B. Ankle edema C. Telangiectasias D. Palpable nodules

Correct Answer is B

Explanation

Choice A reason: Purple lesions could be associated with more severe venous disease or other conditions, not necessarily minor chronic venous disease.

Choice B reason: Ankle edema is a common finding in chronic venous disease due to the pooling of blood in the lower extremities.

Choice C reason: Telangiectasias, also known as spider veins, are commonly seen in chronic venous disease as they are small, visible blood vessels that can be part of the condition.

Choice D reason: Palpable nodules are not typically associated with minor chronic venous disease and could indicate other medical issues.

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The nurse is caring for a patient who is one day post-mastectomy and notes that she is sobbing and gasping for breath. What should the nurse do first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who has obsessive-compulsive disorder (OCD) regarding brushing his teeth. The client brushes his tongue several times a day and has developed several ulcerations. Which of the following interventions should the nurse identify as a priority?

Correct Answer is B

Explanation

The nurse is collecting data on a patient with minor chronic venous disease. What findings are anticipated?

Correct Answer is B

Explanation

Which of the following are NOT nursing interventions for people with anxiety disorders? Select all that apply.

A schizophrenic client is being assessed by the nurse. The client is demonstrating negative symptoms. Which symptoms should be considered negative? (select all that apply)

Mr. G is calling out "Nurse!" When you arrive in his room, he tells you to be careful of the snake in the corner. You do not see anything in the corner. Mr. G is experiencing an:

Which component of the Mental Health Status Examination focuses on the way a person experiences reality?

The nurse is assisting in the care of a patient after open-heart surgery. Which action by the other nurse would warrant intervention?

A nurse is collecting data from a client who has obsessive-compulsive disorder (OCD) and observes that the client demonstrates constant repetitive cleaning. The nurse should realize that the client's repetitive behaviors occur due to which of the following?

A primary mechanism used by people with personality disorders is:

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