The nurse assesses for the fifth vital sign, which is______________
ANS:
pain
Pain is considered the fifth vital sign.
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A nursing instructor is preparing her class for the NCLEX-PN examination. Which statements by the students indicate understanding of the testing process? Select all that apply
a. "It will be a computerized adaptive test." b. "I will have a maximum of 265 questions." c. "The maximum time allowed for testing is 5 hours." d. "The minimum number of questions on the test is 60." e. "My state board of nursing must approve my application to test."
Mrs. Y lives with hemiplegia following an ischemic stroke 8 weeks ago, a disability that has impaired her ability to independently check her blood sugars using a glucometer. What action should the nurse choose to address Mrs. Y's challenge?
A) Reevaluate Mrs. Y's goals for diabetes treatment and the need for random blood glucose monitoring. B) Enlist the help of Mrs. Y's family and friends in performing the glucose monitoring. C) Teach Mrs. Y a method of using a glucometer that can be performed using her unaffected hand. D) Substitute scheduled hemoglobin A1c testing at a medical lab for random blood glucose testing.
The nurse is working with a hospitalized preschool-age child. The nurse is planning activities to reduce anxiety in this child. Which action by the nurse is the most appropriate?
1. Provide the child with a doll and safe medical equipment. 2. Read a story to the child. 3. Use an anatomically correct doll to teach the child about the illness. 4. Talk to the child about the hospitalization.
A teenage boy has received a concussion while playing hockey. A cardinal sign of a concussion is:
1. Confusion. 2. Altered level of consciousness. 3. Loss of consciousness. 4. Fainting.