Author Question: After completing a physical assessment the nurse determines that a laboring client is experiencing a ... (Read 63 times)

pragya sharda · **on:** Jun 27, 2018

After completing a physical assessment the nurse determines that a laboring client is experiencing a panic attack. What findings did the nurse use to make this clinical determination? Select all that apply.

1. Flat affect
2. Monotone replies
3. Heart rate 120 bpm
4. Respiratory rate 28/minute
5. Disoriented to place and time

Question 2

The nurse is concerned that a pregnant client is experiencing depression. Which potential health issues should the nurse include when planning care for this client? Select all that apply.

1. Alcohol use
2. Preterm birth
3. Poor appetite
4. Poor weight gain
5. Antenatal hemorrhage

wergv · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

3, 4
Explanation:
1. A flat affect would be associated with depression.
2. Monotone replies are associated with depression.
3. A heart rate of 120 bpm indicates tachycardia, a manifestation of a panic attack.
4. A respiratory rate of 28/minute indicates hyperventilation, a manifestation of a panic attack.
5. Disorientation to place and time would be associated with schizophrenia.

Answer to Question 2

2, 3, 4
Explanation:
1. A pregnant client with bipolar disorder is at risk for alcohol use.
2. A pregnant client with depression is at risk for preterm birth.
3. A pregnant client with depression is at risk for poor appetite.
4. A pregnant client with depression is at risk for poor weight gain.
5. A pregnant client with schizophrenia is at risk for antenatal hemorrhage.