In planning the care for a patient with pancreatic cancer, the nurse focuses on managing the patient's pain. The nurse is aware that the pain is often more severe during the:
A) Morning
B) Afternoon
C) Evening
D) Night
Ans: D
Feedback: Patients with pancreatic cancer often complain of progressive and severe pain that radiates into the midback and is not related to posture or activity. The pain is often more severe at night and is accentuated by lying supine.
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The LPN is assigning clients on a rehabilitation unit. Which of the following nursing actions should the LPN complete prior to assigning any delegated task?
A) Complete nursing report B) Review physician notes C) Assess the clients D) Obtain feedback from the CNA
During a shift assessment, the nurse is assessing the point of maximum impulse (PMI). Where will the nurse best palpate the PMI?
A) Left midclavicular line of the chest wall at the seventh intercostal space B) Left midclavicular line of the chest wall at the fifth intercostal space C) Right midclavicular line of the chest wall at the seventh intercostal space D) Right midclavicular line of the chest wall at the fifth intercostal space
The nurse is caring for a client who is experiencing anaphylaxis. The family asks the nurse why the client is having difficulty breathing. The nurse responds based on what knowledge?
1. Reflex tachycardia 2. Compensation for a rapid fall in blood pressure 3. The body's response to histamine 4. Bronchoconstriction in response to the allergen
You are conducting a community assessment in a town once supported by multiple paper factories. The factories closed 2 years ago and the majority of the population is now out of work
The school nurse notes that 68% of the students are behind in their physicals and immunizations. On the basis of your community assessment, you will recommend A) the initiation of neighborhood clinics at low or no cost to the community. B) the creation of a taskforce to assess the impact of low income on immunization compliance. C) a formal petition to local government to mandate immunizations or monetary fines to parents. D) a tax relief programs for new companies wishing to settle in the community.