The nurse is collecting data for a patient who is reporting pain in the hand joints. What question should the nurse ask to determine the quality of the pain?
a. "Does the pain move?"
b. "How does the pain feel?"
c. "Did an event cause the pain?"
d. "How would you rate the pain?"
ANS: B
Asking how the pain feels would help identify the quality of the pain. C. Asking if an event caused the pain helps identify a triggering event. A. Asking if the pain moves assesses for radiation of pain. D. Asking the patient to rate the pain determines the severity using a rating scale.
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A postoperative client that recently returned from surgery has a morphine PCA pump. The basal rate is ordered to be 1 mg/hour and the patient can have a 1-mg bolus every 15 minutes
When the nurse assesses the client, the nurse finds the client stuporous, hard to arouse, with a respira-tory rate of 6 breaths/minute. After successfully treating the client, which action by the nurse takes priority? The nurse should a. ask the physician to discontinue the PCA pump and revert to prn opioids for pain. b. check the IV pump to ensure the basal rate is set correctly. c. question the client about how he/she has been using the button on the pump. d. request the physician order different basal and bolus rates.
The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes mellitus. Which statement best illustrates an outcome criterion for this patient?
a. The patient will follow instructions. b. The patient will not experience complica-tions. c. The patient will adhere to the new insulin treatment regimen. d. The patient will demonstrate correct blood glucose testing technique.
The nurse provides teaching to the client preparing to self-administer PD at home. Which does the nurse include in client teaching to familiarize the client with terms used with PD?
1. Dwell time: time required for dialysate to infuse 2. Drain time: period when dialysate leaves the peritoneum 3. Waiting time: phase between each dialysis infusion cycle 4. Clearance time: time allotted for dialysate to remove toxins
The nurse educator facilitates student clinical experiences in the surgical suite. Which action, if performed by a student, would require the nurse educator to intervene?
a. The student wears a mask at the sink area. b. The student wears street clothes in the unrestricted area. c. The student wears surgical scrubs in the semirestricted area. d. The student covers head and facial hair in the semirestricted area.