Author Question: The nurse is planning care for a patient diagnosed with shock. Which intervention should the nurse ... (Read 103 times)

nelaaney · **on:** Jun 25, 2018

The nurse is planning care for a patient diagnosed with shock. Which intervention should the nurse include to address this patient's problem of anxiety?

1. reducing stimuli and medicating for pain
2. assessing blood pressure and heart rate
3. monitoring central venous pressure
4. assessing bowel sounds

Question 2

A female who was a victim of rape 6 months ago comes to an outpatient clinic for the treatment of posttraumatic stress disorder. Which data collected during the patient's assessment indicates a manifestation associated with this disorder?

1. The patient described severe nightmares related to the event.
2. The patient denied anger or shock.
3. The patient denied the need for drug or alcohol counseling.
4. The patient stated that her family is very supportive.

reversalruiz · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1

Interventions appropriate for the problem of anxiety include reducing stimuli, which is calming and facilitates rest, and medicating for pain because pain precipitates or aggravates anxiety. Assessing blood pressure and heart rate would be appropriate for a problem with cardiac output. Monitoring central venous pressure would be appropriate for a problem with tissue perfusion. Assessing bowel sounds would be appropriate for a problem with cardiac output.

Answer to Question 2

Correct Answer: 1
Posttraumatic stress disorder is an intense, sustained emotional response to a disastrous event. It is characterized by emotions that range from anger to fear, and by flashbacks or psychic numbing. In the initial stage, the patient can be calm or might express feelings of anger, disbelief, terror, and shock. In the long-term phase, which begins anywhere from a few days to several months after the event, the patient often experiences flashbacks and nightmares of the traumatic event. The patient also might call on ineffective coping mechanisms, such as alcohol or drugs, and withdraw from relationships.