Which assessment data best support a report of severe pain in an adult client whose baseline vital signs are within an average normal range?
a. Oral temperature 100°F (37.8°C)
b. Respiratory rate 26 breaths/min and shallow
c. Apical heart rate 56 beats/min
d. Blood pressure 124/82 mm Hg
ANS: B
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The nurse is teaching a class of adolescents about the risk of skin cancer
One of the teens asks, "I know you can get skin cancer from lying in the sun, but tanning booths are different, right?" The nurse would include which of the following when responding? 1. While tanning booths are not as bad as the sun, they still increase the risk of skin cancer. 2. Tanning booths are worse than the sun because they emit more ultraviolet light. 3. Both tanning booths and the sun increase the risk of skin cancer, and should be avoided. 4. Occasional use of tanning booths is unlikely to be harmful if time is limited.
A nurse is utilizing a disease-oriented approach when providing care to a client. Which of the following interventions will the nurse most likely provide?
a. Promotion of a greater level of positive health b. Education about common disease pro-cesses c. Acute care management of chronic disease d. Education about medication compliance
Which of the following should the nurse instruct a client who is scheduled for electromyography studies?
1. Eat nothing after midnight. 2. Avoid taking prescribed pain medication prior to the test. 3. Have an alternative form of transportation to get home after the test. 4. Refrain from nicotine and caffeine for 2 to 3 hours before the test.
The nurse has completed an assessment and found that the client has "an activity and exercise abnormality." This type of wording indicates that which of the following organizing formats has been used?
1. Review of systems 2. Nursing health history 3. Gordon's functional health patterns 4. Biographical information database