A 60-year-old man was admitted for cholecystitis that resulted in a cholecystectomy. On his third day of hospitalization, he begins to sweat profusely, tremble, and has a blood pressure of 160/100. Based on these findings, what focused assessment should the nurse complete?
Withdrawal problems
Circulatory problems
Cardiac problems
Respiratory problems
The Correct Answer is A
A. Withdrawal problems: These symptoms are consistent with alcohol or drug withdrawal, which can occur in hospitalized patients with a history of substance use.
B. Circulatory problems: While hypertension is a circulatory issue, the sweating and trembling suggest withdrawal rather than primary circulatory problems.
C. Cardiac problems: While important to rule out, the combination of symptoms points more towards withdrawal.
D. Respiratory problems: The primary symptoms here are not indicative of respiratory issues.
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Related Questions
Correct Answer is D
Explanation
A. Within 1 to 2 months. While some recovery may be seen within the first 1 to 2 months, it is typically an ongoing process, and significant improvements are often seen over a longer period.
B. Within 2 to 3 weeks. This timeframe is too short for significant recovery of neurologic function. Initial recovery is most rapid in the first few weeks, but continued improvement is expected over months.
C. Within 6 to 9 months. While recovery can continue up to 6 to 9 months or longer, most significant improvements in neurologic function occur within the first 3 to 6 months.
D. Within 3 to 6 months. This is the period during which the most significant recovery of neurologic function typically occurs following a stroke.
Correct Answer is C
Explanation
A. The patient has decreased perceptions: This is a sign of panic anxiety, not necessarily severe anxiety.
B. The patient has increased motivation: Increased motivation is associated with mild to moderate anxiety.
C. The patient has a feeling of impending doom: This is a hallmark of severe anxiety, characterized by intense fear and a sense of catastrophic events.
D. The patient could cause harm to self or others: This is more indicative of panic or extreme anxiety with loss of control.
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