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A client who has agoraphobia (a fear of crowds) is beginning desensitization with the therapist, and the nurse is reinforcing the process. Which intervention has the highest priority for this client's plan of care? A.Encourage substitution of positive thoughts for negative ones B.Establish trust by providing a calm, safe environment C.Progressively expose the client to larger crowds D.Encourage deep breathing when anxiety escalates in a crowd A male client is admitted to the psychiatric...

An oriented patient has recently had surgery. Which action is best for the nurse to take to assess this patient’s pain? a. Assess the patient’s body language. b. Ask the patient to rate the level of pain. c. Observe the cardiac monitor for increased heart rate. d. Have the patient describe the effect of pain on the ability to cope. .A nurse is caring for a patient who recently had abdominal surgery and is experiencing severe pain. The patient’s blood pressure is 110/60 mm Hg, an...

• A male client approaches the nurse with an angry expression on his face and raises his voice, saying, “My roommate is the most selfish, self-centered, angry person I have ever met. If he loses his temper one more time with me, I am going to punch him out!” the nurse recognizes that the client is using which defense mechanism? a. Denial b. Projection c. Rationalization d. Splitting • A male client with bipolar disorder who began taking lithium carbonate five days ago is complaining...

• Thenurseiscaringforaclientinatrialfibrillation.Theatrialheartrateis250and the ventricular rate is controlled at 75. Which of the following findings iscausefor the mostconcern? A) Diminishedbowelsounds B) Lossofappetite C) Acold,palelower leg D) Tachypnea - A-Fibcancausefluidbuildupinthelowerextremities.Itcausesbloodtopoolupintheatria. • Theclientwithinfectiveendocarditismustbeassessedfrequentlybythehome health nurse. Which finding suggests that antibiotic therapy is noteffecti...

The nurse is reviewing medical prescriptions for newly admitted clients. It would be a priority for the nurse to follow up with the physician if a client with A. A potassium of 4.5 mEq/L has Kayexalate (sodium polystyrene) prescribed B. Dilantin (phenytoin) level of 8 mcg/ml is placed on seizure precautions C. Sensitivity to Aspirin (acetylsalicylic acid) is prescribed Tylenol (acetaminophen) D. Sensitivity to Penicillin is prescribed Zithromax (azithromycin) ACADEMICMASTER The n...