List six factors that cause the blood pressure to be elevated.
What will be an ideal response?
· Sex of the patient
· Exercise
· Eating
· Stimulants
· Emotional stress
· Diseases of the heart and blood vessels
· Heredity
· Pain
· Obesity
· Age
· Condition of blood vessels
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The nurse is assessing a patient's pain using the pain scale. The patient is tearful, hesitant to move, and grimacing. The patient rates the pain at this time as a 2 using the pain scale. The nurse should conclude which of the following?
A) The patient has rated the pain as minimal according to the scale. B) The nurse should reinforce teaching about the pain scale number system. C) The nurse should reassess the pain in 30 minutes. D) The medication the patient is receiving is not adequate for pain relief.
Which information noted in a patient's history most suggests a need for careful assessment of risk for violence in a newly admitted medical patient?
a. Childhood abuse b. Family estrangement c. Academic problems d. Chemical dependence
A client informs the nurse that he frequently experiences stress incontinence. The nurse plans the following interventions:
A) Have a bedside commode readily available to the client. B) Provide client with absorbent pads or panty liners. C) Toilet client every 2 hours. D) Catheterize client every shift for residual urine.
The nurse admits an acutely ill, older patient to the hospital. Which action should the nurse take first?
a. Speak slowly and loudly while facing the patient. b. Obtain a detailed medical history from the patient. c. Perform the physical assessment before interviewing the patient. d. Ask a family member to go home and retrieve the patient's cane.