A nurse is gathering data from a client who has severe anxiety. Which of the following findings should the nurse identify as an indication that the client is experiencing a crisis?

Client reports a decreased appetite

Client isolates themselves from their family and friends

Client expresses an inability to experience pleasure

Client reports intermittent depressed mood

Answer and Explanation

The Correct Answer is B

Answer: B. Client isolates themselves from their family and friends

Rationale: A crisis is a situation that overwhelms a person's usual coping mechanisms and causes psychological distress. A client who isolates themselves from their family and friends is showing a sign of impaired social functioning, which indicates a crisis. The other options are not specific to a crisis and could be manifestations of anxiety or depression.

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Correct Answer is {"xRanges":[125.765625,155.765625],"yRanges":[492.609375,522.609375]}

Explanation

The dorsalis pedis artery pulse can be palpated lateral to the extensor hallucis longus tendon (or medially to the extensor digitorum longus tendon) on the dorsal surface of the foot, distal to the dorsal most prominence of the navicular bone which serves as a reliable landmark for palpation.

A. “I will place my newborn's crib near a heat vent during cold weather." B. "I will place my newborn face up on a pillow when sleeping." C. "I will attach the pacifier to my newborn's clothing with a string at bedtime." D. "I will make sure that I can fit one finger between the mattress and the side of my newborn's crib."

Correct Answer is D

Explanation

Answer: D. I will make sure that I can fit one finger between the mattress and the side of my newborn's crib.

Rationale: The parent should make sure that the mattress fits snugly in the crib and that there are no gaps between the mattress and the side of the crib that could trap the newborn's head or body. This reduces the risk of suffocation or entrapment. The other statements by the parent are incorrect and unsafe practices that could harm the newborn.

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A nurse is gathering data from a client who has severe anxiety. Which of the following findings should the nurse identify as an indication that the client is experiencing a crisis?

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Naxlex Comprehensive Predictor Exams

A nurse is monitoring a client's arterial pulses. The nurse should check for a dorsalis pedis pulse in which of the following locations? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

Correct Answer is {"xRanges":[125.765625,155.765625],"yRanges":[492.609375,522.609375]}

Explanation

A nurse is reinforcing teaching with a parent of a newborn about home safety precautions.Which of the following statements by the parent indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is caring for a client who has Clostridium difficile. When applying a cover gown, which of the following techniques should the nurse use?

A nurse is completing postmortem documentation for a client. Which of the following information should the nurse include in the documentation?

A nurse is providing teaching to a client about the adverse effects of sertraline. Which of the following adverse effects should the nurse include?

A nurse is caring for a client who is in labour and notes that the umbilical cord is prolapsed. Which of the following actions should the nurse take?

A nurse in a mental health facility is reinforcing teaching with a client about panic attacks.Which of the following statements by the client indicates an understanding of the instructions?

A nurse is caring for a client who has schizophrenia and is taking an antipsychotic medication. Which of the following screening tools should the nurse use to identify tardive dyskinesia?

A nurse determines that clients who receive zolpidem postoperatively have an increased fall rate compared to other postoperative clients. To which of the following members of the health care team should the nurse report these findings?

A nurse is caring for a client who reports hearing voices. Which of the following statements should the nurse make first?