Although denying pain, a patient is irritable, responds slowly, and exhibits periods of tachycardia. What should the nurse assess for in this patient?
a. Electrolyte imbalance
b. Allergic response
c. Sleep deprivation
d. Constipation
ANS: C
With sleep deprivation, patients may experience a variety of physiologic and psychological symptoms.
You might also like to view...
When assessing a client's lateral flexion of his cervical spine, the nurse asks the client to:
1. touch his ear to his shoulder. 2. touch his chin to his chest. 3. turn his head and look to his left. 4. look at the ceiling.
A patient with osteoarthritis in both knees and shoulders states that she cannot manage her household tasks without pain. Which is the most appropriate nursing diagnosis for this patient?
a. Ineffective coping, related to pain b. Risk for disuse syndrome c. Impaired physical mobility, related to pain d. Activity intolerance, related to pain
Crackles or rales on auscultation of lungs
What will be an ideal response?
A patient is scheduled to receive metoprolol for blood pressure control at 09:00. the order reads "for SBP >90, 25 mg PO daily." Prior to administration, the nurse rechecks the BP an finds it to be 90/50 with a HR of 68. This is an example of using what type of nursing skill?
A. the nursing process B. critical thinking C. The nurse Practice Act D. Medical stimulation