A nurse suspects that a patient is still in pain because of nonadherence to the opioid regimen. Which physical sign would help confirm this suspicion?
1. Dilated pupils
2. Constricted pupils
3. Hypotension
4. Slow respirations
Correct Answer: 1
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Which of the following would the nurse expect to find in a newborn who develops sepsis?
A) Increased urinary output B) Interest in feeding C) Temperature instability D) Wakefulness
A mildly confused older adult patient states, "I am in the Mojave desert.". A nurse who is using validation therapy with the patient would make which response?
a. "Are you feeling hot or thirsty?" b. "Can you tell me about a time in your past when you were in a desert?" c. "You are in a rehabilitation nursing center because you need help caring for yourself.". d. "Your medical record shows that you have hyperthyroidism, which is probably responsible for the confusion you are experiencing.".
The history shows that a newly admitted patient has impulsivity. The nurse would expect behavior characterized by:
a. adherence to a strict moral code. b. manipulative, controlling strategies. c. postponing gratification to an appropriate time. d. little time elapsed between thought and action.
Mrs. Black is a 59-year-old patient who presents to the health center with a complaint of being postmenopausal. When providing patient education to Mrs. Black, you would explain that the postmenopausal woman:
A. is more prone to vaginitis. B. is less prone to vaginitis. C. has no change in vaginitis risk. D. None of the above