A highly successful businessman presents to the community mental health center complaining of sleeplessness and anxiety over his financial status. Which action should the practical nurse (PN) take to assist this client in diminishing his anxiety?

Teach him to limit sugar and caffeine intake.

Direct him to drink a glass of red wine at bedtime

Reinforce the reality of his financial situation.

Encourage him to initiate daily rituals

Answer and Explanation

The Correct Answer is A

A. Limiting sugar and caffeine intake can positively impact sleep and anxiety levels.
B. Drinking red wine at bedtime might initially induce sleep but could disrupt sleep patterns and worsen anxiety.
C. Reinforcing the reality of his financial situation might increase anxiety rather than diminish it.

D. Encouraging daily rituals might help establish a routine but might not directly address the anxiety related to financial stress.

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Correct Answer is C

Explanation

A. Checking for kinks in the drainage tubing might be a part of troubleshooting, but the observed clots and thick red fluid require immediate attention, so informing the charge nurse is the priority.
B. Delaying assessment for another hour could potentially exacerbate the issue if there's a problem with the irrigation or if the client's condition worsens.
C. Reporting the finding to the charge nurse is crucial as it indicates potential complications such as bleeding or clot formation that need immediate intervention.
D. Immediately stopping the irrigation solution without proper assessment and guidance could lead to complications and isn't the initial action warranted in this situation.

A. Encourage the client to use the spirometer before receiving analgesia. B. Offer to reschedule the spirometer instruction until several hours later. C. Provide a PRN analgesic and then encourage use of the spirometer. D. Reassure the client that use of the incentive spirometer is not painful.

Correct Answer is A

Explanation

A. Encouraging the client to use the spirometer before analgesia is important as it helps prevent respiratory complications post-surgery. It's crucial for optimal recovery.
B. Rescheduling the spirometer instruction may delay a critical intervention for the client's postoperative care.
C. Providing a PRN analgesic before spirometer use might hinder the client from benefiting fully from the respiratory therapy.
D. Reassuring the client that the incentive spirometer is not painful doesn't address the client's request for analgesia before using it.

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A highly successful businessman presents to the community mental health center complaining of sleeplessness and anxiety over his financial status. Which action should the practical nurse (PN) take to assist this client in diminishing his anxiety?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

The practical nurse (PN) is explaining the use of an incentive spirometer to a postoperative client. The client asks the PN to administer an analgesic before using the spirometer. How should the PN respond?

Correct Answer is A

Explanation

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