A nurse is caring for an unconscious patient. What objective assessments does the nurse use to help evaluate pain in this patient? (Select all that apply.)
a. Agitation
b. Restlessness
c. Sighing
d. Vital signs
e. Shivering
ANS: A, B, D
The American Society for Pain Management in Nursing's position paper states that for the unconscious, intubated, dementia, or pre-verbal pediatric patient objective assessments of agitation, restlessness, irritation, and changes in vital signs can be used to help assess pain.
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A nurse completes an incident/occurrence report on a patient who fell while walking in the hallway. The nurse completes this report for what purpose?
a. To exchange information among health care members b. To provide information about patients on one unit to another c. To prevent a legal lawsuit from the patient d. To aid in the hospital's quality improvement program
Persistent pulmonary hypertension of the newborn (PPHN) is a condition in which the vascular resistance of the lungs does not decrease after birth and consequently normal changes to neonatal circulation are impaired
The neonatal nurse knows that there are numerous underlying causes for this condition, one of which is maternal use of nonste-roidal antiinflammatory drugs (NSAIDs). Indicate whether the statement is true or false
The nurse is caring for a client with a suspicious lesion on the client's head. The lesion is sore and resembles basal cell carcinoma. Which client finding is a risk factor for developing skin cancer?
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Obtaining an endocervical smear includes inserting the cytobrush through the speculum into the cervical os about 1 cm and:
A) Turning the cytobrush in a circular motion until bleeding occurs. B) Rotating the cytobrush 360 degrees clockwise and then counterclockwise. C) Scraping the surface of the cervix. D) Letting the cytobrush sit in the os for 20 to 30 seconds.