A patient with terminal cancer requires increasing doses of an opioid pain medication to obtain relief from pain. This patient is exhibiting signs of drug:
a. Abuse
b. Misuse
c. Tolerance
d. Dependence
ANS: C
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Two nurses collaborate in assessing an apical-radial pulse on a patient. The pulse deficit is 16 beats/min. What does this indicate?
A) The radial pulse is more rapid than the apical pulse. B) This is a normal finding and should be ignored. C) The patient's arteries are very compliant. D) Not all of the heartbeats are reaching the periphery.
During the fourth stage of labor, your client's assessment includes a BP of 110/60, pulse 90, and the fundus is firm midline and halfway between the symphysis pubis and the umbilicus. The priority action of the nurse should be to:
A. Turn the client onto her left side. B. Place the bed in Trendelenburg position. C. Massage the fundus. D. Continue to monitor.
A nurse is interviewing a client who is a survivor of abuse. The client is telling the nurse about how the violence occurred. Which statement would the nurse interpret as reflecting phase 3 of the cycle of violence?
A) "He threw me against the wall and started punching my face." B) "He yells at me for not having dinner waiting for him when he came home." C) "He calls me stupid and incompetent, asking himself why he ever married me." D) "He tells me that he is sorry and that he will never hit me again."
An outbreak of a gastrointestinal illness from a food-borne pathogen is an example of a/an
1. Attack rate 2. Point epidemic 3. Secular trend 4. Event-related cluster