While performing the pre-operative check list on a client, the nurse notes that theclient is having difficulty paying attention, increased heart rate and respirations andhas sweaty palms with trembling hands. The client states, “All I can think about isthe surgery and I keep wondering if everything will go alright.” Based on theinformation provided the nurse should classify the client’s anxiety at:
- Correct: C
- Rationale: The client in this scenario is displaying obvious signs of sympathetic nervous systemstimulation. With the addition of client statements regarding the surgical procedure, the nurseshould classify their anxiety as severe.