Exhibits
Drag from the options to complete the sentence.
After listening to the client's symptoms, the nurse realizes that she likely has related to
The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}
Acute stress disorder (ASD) is characterized by symptoms such as intrusive memories, nightmares, and negative mood changes following a traumatic event, which aligns with the client's experiences of having horrible thoughts and memories about her house collapsing.
Traumatic stress exposure refers to the distressing experience she endured during the hurricane when her house collapsed, leading to her current emotional state.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Instituting droplet precautions is crucial to prevent the spread of COVID-19, especially since the client may be positive and symptomatic. Placing the client in a private room ensures the safety of others in the healthcare facility.
B. While informing others about potential exposure is important, it does not address immediate safety and infection control measures.
C. Starting an IV infusion for antiviral drugs may be appropriate after a positive test but does not take precedence over isolation measures.
D. Counseling family members to monitor for symptoms is helpful but is secondary to ensuring that the client is safely managed in the emergency department.
Correct Answer is A
Explanation
A. Ensuring the client takes a diuretic every morning is the first intervention because it addresses fluid overload, which is indicated by the significant weight gain and elevated blood pressure. Diuretics help reduce excess fluid and alleviate symptoms of SIADH.
B. Measuring ankle circumference is useful for assessing edema but is not the immediate priority compared to addressing fluid overload through diuretics.
C. Monitoring daily sodium intake is important for managing SIADH, but the priority is to manage the fluid overload first.
D. Obtaining serum creatinine levels daily is part of monitoring kidney function, but it is not the immediate concern compared to managing fluid balance in this context.
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