The client continues to demonstrate anxiety or fear during an ...

[Lisaclaire]

The client continues to demonstrate anxiety or fear during an interview. The nurse should:
 
  A. Use more gestures or pictures
  B. Focus on the physical complaints
  C. Get another staff member to speak to the client
  D. Repeat information to the client at a later time

Question 2

The nurse is reviewing medical records on several patients. Which findings reported in the chart indicate the need for postural drainage? (Select all that apply.)
 
  a. Atelectasis reported on chest x-ray
  b. Thick, sticky, tenacious, green secretions noted in the nurse's notes
  c. Multiple rib fractures noted on chest x-ray
  d. Chest x-ray report indicating pneumonia with collapse of right lower lobe

[snackralk]

Answer to Question 1

D
D. Anxiety can limit the amount of information the client can understand, so information may need to be repeated when client's level of anxiety has decreased.
A. Increasing gestures and pictures is increased stimulation that causes increased anxiety for the client. This behavior could also be interpreted by the client as increased anxiety on the part of the nurse.
B. Physical complaints need to be acknowledged, but dwelling on them can increase the client's anxiety.
C. Effective communication should be used to lower the client's anxiety; involving another staff member would cause a break in the continuity of care.

Answer to Question 2

A, B, D
Chest x-ray film changes consistent with atelectasis, lobar collapse pneumonia, or bronchiectasis indicate a need for postural drainage. Other signs are ineffective coughing and thick, sticky, tenacious, discolored secretions that are difficult to cough up.
Rib fractures are a contraindication for postural drainage.

[Lisaclaire]

Thank you!

[snackralk]

Always glad to help...