When assessing pain in a older adult client who is alert and oriented, which assessment tool would be most appropriate to use?
A) Numerical rating scale
B) Faces Pain Scale-Revised
C) FLACC Scale
D) Graphic rating scale
A
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The nurse is conducting a head-to-toe assessment on a patient. For what would the nurse inspect the skin? (Mark all that apply.)
A) Peeling B) Rashes C) Goose bumps D) Lesions E) Color
The nurse is listening to a client's lungs and is having difficulty hearing anything. A review of the electronic medical records states that the client has developed atelectasis
Based on this information, what is the best description of atelectasis to tell the client? A) Inflammation of the pleura B) Inflammation of the trachea C) Air or fluid accumulation blocked in the trachea D) Air or fluid accumulation in the pleural space
A patient with stable exertional angina has been receiving a beta blocker. Before giving the drug, the nurse notes a resting heart rate of 55 beats per minute. Which is an appropriate nursing action?
a. Administer the drug as ordered, because this is a desired effect. b. Withhold the dose and notify the provider of the heart rate. c. Request an order for a lower dose of the medication. d. Request an order to change to another antianginal medication.
A nurse administers a prescribed dose of lithium at 8 p.m. The nurse would schedule a specimen to be obtained for a blood concentration at which time?
A) 10 p.m. B) 12 a.m. C) 4 a.m. D) 8 a.m.