A nurse in an acute mental health facility observes a client having a panic attack. Which of the following interventions should the nurse implement first?

Discuss the client's feelings prior to the panic attack.

Encourage the use of positive self-talk strategies.

Instruct the client to use abdominal breathing.

Administer an antianxiety medication.

Answer and Explanation

The Correct Answer is C

A.   Discussing the client's feelings prior to the panic attack may be helpful during a debriefing session but is not the priority during an acute panic attack.
B.   While positive self-talk strategies can be beneficial for managing anxiety, they may not be effective during the acute phase of a panic attack when the client is experiencing overwhelming symptoms.
C.   Instructing the client to use abdominal breathing helps to regulate breathing patterns and reduce the intensity of the panic attack by activating the parasympathetic nervous system.
D.   Administering an antianxiety medication may be necessary in severe cases of panic attacks, but it is not typically the first intervention. Non-pharmacological techniques such as breathing exercises should be attempted first.

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Correct Answer is D

Explanation

A. The lecithin/sphingomyelin (L/S) ratio test is not used to detect birth defects. It specifically assesses fetal lung maturity by measuring the ratio of two phospholipids present in fetal lung surfactant.
B. The L/S ratio test does not reveal the sex of the fetus. It is unrelated to fetal gender determination.

C. While preterm labor risk can be assessed through other methods, such as cervical length

measurement or fetal fibronectin testing, the L/S ratio test is specifically focused on fetal lung maturity.
D. The L/S ratio test is primarily used to determine fetal lung maturity, as an increased ratio indicates lung maturity and readiness for extrauterine life.

A. Terbutaline B. Methylergonovine C. Magnesium sulfate D. Nifedipine E. Nifedipine

Correct Answer is B

Explanation

A. Terbutaline is a beta-adrenergic agonist primarily used to relax smooth muscles in conditions such as asthma or to delay preterm labor. It is not indicated for postpartum hemorrhage.
B. Methylergonovine is an ergot alkaloid medication used to manage postpartum hemorrhage by causing uterine contraction, which helps control bleeding.
C. Magnesium sulfate is commonly used to prevent seizures in clients with preeclampsia or eclampsia. It is not indicated for postpartum hemorrhage.
D. Nifedipine is a calcium channel blocker used to manage hypertension, angina, and preterm labor. It is not indicated for postpartum hemorrhage.

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A nurse in an acute mental health facility observes a client having a panic attack. Which of the following interventions should the nurse implement first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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