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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
- Choice A Rationale: The epidural PCA (patient-controlled analgesia) is designed with safety mechanisms to ensure that the patient cannot administer a dose that exceeds the prescribed safe limit. This is crucial to prevent potential overdose and complications associated with high doses of analgesics.
- Choice B Rationale: While it is true that some patients may experience reduced mobility in their legs during epidural analgesia, this is not an absolute and can vary based on the dosage and individual response. Therefore, it is not a guaranteed effect and should not be presented as such.
- Choice C Rationale: There is no conclusive evidence to suggest that epidural pain control methods shorten the second stage of labor. In fact, some studies indicate that it may actually prolong it. The primary purpose of epidural PCA is pain management, not altering the labor process timeline.
- Choice D Rationale: Postpartum headaches can be a side effect of epidural anesthesia, but they are not common to all cases. It is associated with a complication known as a post-dural puncture headache, which occurs in a minority of cases. Hence, it should not be stated as a common outcome.
Correct Answer is C
Explanation
A. Decreased blood pressure is not typically associated with acute glomerulonephritis. In fact, hypertension is a common finding in this condition.
B. Pale yellow urine is a nonspecific finding and is not typically associated with acute glomerulonephritis.
C. Periorbital edema, which is swelling around the eyes, is a classic manifestation of acute glomerulonephritis due to fluid retention and is caused by impaired kidney function.
D. Increased urination is not a typical finding in acute glomerulonephritis. Instead, oliguria or decreased urine output is more common due to decreased glomerular filtration rate.
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