Select the 4 findings that require follow-up.
Witnessing their family's death
Caregiver reporting client acting differently than usual
Attends school regularly
Startles easy during thunderstorm
Heart rate 99/min
BP 122/80 mmHg
Smoking marijuana to clear their mind
Client experiences nightmares
Correct Answer : A,B,D,H
Based on the information provided, the following findings require immediate follow-up:
A. Witnessing their family's death: The client witnessing their family's death during the tornado is a traumatic event that may have significant psychological implications. This finding requires immediate attention and further assessment to address the client's emotional well-being.
B. Caregiver reporting client acting differently than usual: The caregiver's concern about the client "not being themselves lately" is important and may indicate changes in the client's behavior or mental state. This requires immediate follow-up to explore the reasons behind the change in behavior.
D. Startles easily during thunderstorm: The client's heightened startle response during thunderstorms may be indicative of increased anxiety or trauma-related symptoms. This finding requires further evaluation and intervention.
G. Smoking marijuana to clear their mind: The client's use of marijuana to cope with their emotions and thoughts indicates maladaptive coping mechanisms. This finding requires immediate follow-up to address substance use and provide appropriate support.
H. Client experiences nightmares: The client's nightmares are likely related to the traumatic event they witnessed, and they may be experiencing symptoms of post-traumatic stress disorder (PTSD). This finding requires immediate attention and assessment to provide appropriate mental health support.
The other findings mentioned (C, E, F) are not concerning based on the information provided and do not require immediate follow-up. However, they may still be relevant for the client's overall assessment and care plan. The nurse should prioritize addressing the immediate mental health and emotional needs of the client, given the recent traumatic experience they went through.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Correct. The child should be instructed to blow into the peak expiratory flow meter as hard and quickly as possible to achieve maximal effort. This provides an accurate measure of peak expiratory flow, which is important in assessing asthma control.
B. Incorrect. The child's body position during testing does not typically affect the accuracy of peak expiratory flow measurements.
C. Incorrect. While recording the average of multiple readings over time is important, the child needs to understand how to perform a single accurate reading first.
D. Incorrect. The tongue is not usually involved in the use of a peak expiratory flow meter.
The child should place their lips tightly around the mouthpiece to create a seal while blowing forcefully into the device.
Correct Answer is C
Explanation
A. Bubble baths can increase the risk of urinary tract infections (UTIs) and should be avoided, especially after intercourse.
B. Drinking plenty of water is beneficial for urinary tract health, but a specific amount (four glasses) may not be necessary for all individuals.
C. Correct. Wearing loose-fitting underwear allows better airflow and decreases moisture, reducing the risk of UTIs.
D. Voiding every 5 to 6 hours is a general guideline for healthy bladder habits, but it may not directly prevent recurrent UTIs.
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