The nurse is assessing a client suffering from stress and anxiety. A common physiological response to stress and anxiety is
A. sedation.
B. diarrhea.
C. vertigo.
D. urticaria.
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A client is admitted to the emergency department with complaints of chest pain and shortness of breath. The nurse's assessment reveals jugular vein distention. The nurse knows that when a client has jugular vein distention, it's typically due to
A. a neck tumor.
B. an electrolyte imbalance.
C. dehydration.
D. fluid overload.
Which signs and symptoms are associated with an acoustic neuroma
Amenorrhea and obesity.
B. Acromegaly.
C. Ataxia and intention tremor.
D. Unilateral hearing loss and tinnitus.
A client with myocardial infarction and cardiogenic shock is placed in an intra-aortic balloon pump (IABP). If the device is functioning properly, the balloon inflates when the
A. triseupid valve is closed.
B. pulmonic valve is open.
C. aortic valve is closed.
D. mitral valve is closed.
An elderly client's lithium level is 1.4 mEq/L. She complains of diarrhea, tremors, and nausea. The nurse's first action is to
A. hold the lithium (Lithobid) and notify the physician.
B. reassure the client that these are normal adverse effects.
C. administer another lithium dose.
D. discontinue the lithium.