A nurse is interviewing a client at a temporary shelter after surviving the destruction of her home by a tornado. When assessing the client, the nurse should ask which of the following questions to de... termine the patient’s ability to cope with this situation? - "To whom do you talk when you feel overwhelmed?" - By asking this question, the nurse is assessing the client’s support system, which is an important factor in the client’s ability to cope with the situation. A nurse is caring for a patient who gave birth to a stillborn baby. Which of the following statements should the nurse make? - "I'll stay with you just in case you want to talk." - This response indicates the nurse’s interest in the client and a desire to understand the client’s feelings. A nurse on a medical-surgical unit is assessing a client who sustained injuries 12 hours ago following a motor-vehicle crash. The client’s admission blood alcohol level was 325 mg/dL. Which of the following findings should indicate to the nurse that the client is experiencing alcohol withdrawal? - BP 154/96 mm Hg - Physical manifestations of alcohol withdrawal occur in addition to psychological effects. A client who is experiencing alcohol withdrawal is expected to have hypertension, tachycardia, and fever greater than 38.3°C (101°F). It will be important for the nurse to rule out infection in the client who has fever. [Show More]
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