Author Question: A client scheduled for an operation later in the day tells the nurse that she is anxious and wants ... (Read 38 times)

londonang · **on:** Jun 25, 2018

A client scheduled for an operation later in the day tells the nurse that she is anxious and wants the surgery to be over. The nurse correlates which physical finding to the client's moderate degree of anxiety?

1. Difficulty arousing
2. Blood pressure and pulse elevated from baseline
3. Pacing in the hall
4. Crying uncontrollably

Question 2

A physician plans to order diazepam (Valium) for a client who experiences panic attacks. The nurse should assess the client for:

1. alcoholism.
2. nutritional status.
3. family situation.
4. job status.

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

Answer to Question 1

Answer: 2

1. Anxiety produces a state of alertness; the client would not be sleeping.
2. The sympathetic nervous system reacts in response to the anxiety, as manifested by the increase in BP and pulse.
3. Pacing would be seen with severe anxiety.
4. Crying would be seen with severe anxiety.

Answer to Question 2

Answer: 1

1. Fatalities involving the combination of BZs and alcohol are relatively common. An additive CNS depressant effect occurs when BZs are taken with CNS depressants such as alcohol.
2. Nutritional status does not affect the ordered medication.
3. Family situation does not influence the drug ordered.
4. The nurse might caution the client against operating machinery with the medication, but the job itself has no bearing on the action of the medication.