A nurse is collecting data on a client who is experiencing anxiety. Which of the following findings should the nurse expect?
Hyperventilation
Bradycardia
Drowsiness
Peripheral vasodilation
The Correct Answer is A
A. Hyperventilation is a common physiological response to anxiety, caused by increased respiratory rate due to heightened stress.
B. Bradycardia is not typical in anxiety; tachycardia is more commonly observed.
C. Drowsiness is not characteristic of anxiety; increased alertness or hypervigilance is more likely.
D. Peripheral vasodilation does not occur in anxiety; instead, vasoconstriction may lead to symptoms like cold or clammy skin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While documenting the temperature accurately is important, this entry lacks detail, such as the method of measurement or the client’s condition at the time.
B. Recording the pulse rate with the client’s position is helpful, but this entry does not indicate how the pulse was assessed (e.g., manually or with a device).
C. The blood pressure entry is accurate but does not include any contextual information, such as the client’s position or activity level during measurement.
D. This entry provides sufficient detail, including the method of measurement (auscultation), the respiratory rate, and the client’s position, ensuring comprehensive documentation.
Correct Answer is D
Explanation
A. 5 tsp: 5 mL is equivalent to 1 teaspoon, not 5.
B. 0.5 tsp: 5 mL is larger than 0.5 tsp.
C. 2.5 tsp: 5 mL is equivalent to 1 teaspoon, not 2.5.
D. 1 tsp: 5 mL is equal to 1 teaspoon.
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