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 B
Explanation
A. Fill the client's bathtub with water at 48° C (118.4° F): This water temperature is too hot for the client, especially with spinal cord injuries that may impair temperature sensation.
B. Give the client a long-handled sponge: This allows the client to reach areas of their body that may be difficult to access, promoting independence.
C. Offer the client bar soap: Bar soap can be drying to the skin. Liquid soap is often a better option.
D. Provide the client with a fixed showerhead: A hand-held showerhead is better as it allows the client more control during bathing.
Correct Answer is C
Explanation
A. Apply lotion between the toes: Lotion should be avoided between the toes to prevent moisture buildup, which can lead to fungal infections.
B. Wash feet in hot water: Hot water can burn the feet, and clients with diabetic neuropathy may have impaired sensation.
C. Avoid walking barefoot: Diabetic neuropathy can impair sensation, leading to unrecognized injuries from cuts or abrasions, making it important to wear shoes.
D. Wear open-toed shoes: Open-toed shoes expose the feet to injury, and closed-toed shoes are recommended for protection.
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