A nurse is providing teaching about managing anxiety to a client who has anxiety disorder. Which of the following recommendations should the nurse make for when the client experiences mild anxiety?
"Try doing progressive muscle relaxation."
"Surround yourself with a crowd of people."
"Focus on taking shallow, rapid breaths."
"Suppress your feelings to the best of your ability."
The Correct Answer is A
Choice A reason: Progressive muscle relaxation is an effective technique for managing mild anxiety. It involves tensing and relaxing muscle groups to reduce physical tension and promote calmness. This is a healthy coping strategy that empowers the client to manage symptoms.
Choice B reason: Surrounding oneself with a crowd of people can increase anxiety rather than reduce it. Crowds may overstimulate the client and worsen symptoms.
Choice C reason: Shallow, rapid breathing exacerbates anxiety by increasing sympathetic nervous system activity and reducing oxygenation. The nurse should encourage slow, deep breathing instead.
Choice D reason: Suppressing feelings is maladaptive and can worsen anxiety over time. Healthy coping strategies involve acknowledging and managing feelings, not ignoring them.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Methylprednisolone is a corticosteroid that can cause fluid retention and sodium retention, leading to hypertension. This is a well-documented adverse effect of corticosteroid therapy. Therefore, this option is correct.
Choice B reason: Corticosteroids are more commonly associated with weight gain due to increased appetite and fluid retention, not weight loss. This option is incorrect because it contradicts the expected side effects.
Choice C reason: Tremors are not a typical adverse effect of methylprednisolone. They are more commonly associated with medications affecting the nervous system, such as bronchodilators or stimulants. This option is incorrect.
Choice D reason: Drowsiness is not a common adverse effect of corticosteroids. In fact, corticosteroids can sometimes cause insomnia or restlessness. Therefore, this option is incorrect.
Correct Answer is A
Explanation
Choice A reason: Morphine is contraindicated in clients with absent bowel sounds because it can worsen or precipitate paralytic ileus. Opioids decrease gastrointestinal motility, and in the presence of absent bowel sounds, this could lead to severe complications such as bowel obstruction or perforation. This makes it the most urgent contraindication.
Choice B reason: A respiratory rate of 14/min is within the normal range (12–20 breaths per minute). Morphine can cause respiratory depression, but this finding does not indicate a contraindication at baseline. The nurse should monitor closely after administration, but it is safe to proceed.
Choice C reason: A blood pressure of 100/60 mm Hg is on the lower side but still acceptable. Morphine can cause vasodilation and hypotension, so caution is warranted, but this value alone does not contraindicate administration. Monitoring blood pressure after administration is appropriate.
Choice D reason: A urine output of 100 mL/hr is adequate and indicates normal renal function. Morphine is metabolized primarily in the liver and excreted by the kidneys, but this urine output does not suggest impairment.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.