The nurse is performing a pain assessment when the older adult patient reports pain in his left shoulder that radiates down into the forearm. The nurse immediately
a. recognizes that the patient is experiencing cardiac distress.
b. alerts the rapid response team to provide emergency care.
c. asks whether he has ever experienced this pain before.
d. questions the patient about additional re-lated symptoms.
C
Assessment is essential in differentiating acute life-threatening pain from longstanding chronic pain. Otherwise, disease progression and acute injury may go unrecognized and be attributed to preexisting disease or illness. The patient may or may not be experiencing cardiac ischemia, the rapid response team does not need to be called, and the nurse can assess for other symptoms after determining if this pain is new or not.
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An example of a measurable goal would be:
a. "The patient will be able to lift 10 lb by the end of week one." b. "The patient will be able to lift weights by the end of the week." c. "The patient will be able to lift his normal weight amount." d. "The patient will be able to life an acceptable amount of weight by week one."
A female patient is prescribed oprelvekin therapy to treat thrombocytopenia. Which of the following should the nurse continuously monitor to determine the efficacy and duration of the oprelvekin therapy?
A) Weight gain B) Platelet count C) Red and white blood cell count D) Cardiac arrhythmias
Assuming responsibility for a patient's care forms a legally binding situation described as:
a. nurse-patient relationship. b. accountability. c. advocacy. d. standard of care.
A tube passed through the nose or mouth with the end terminating in the stomach or the small bowel, and used in feeding the patient for short periods is known as a _____________
Fill in the blanks with correct word