Which steps should the LPN/LVN follow when performing a pain assessment?
a. Assess vital signs, status of pain, and ag-gravating factors.
b. Assess location, quality, and intensity on an identified scale.
c. Assess the intensity on an identified scale and record findings.
d. Assess vital signs and location, and report to the RN.
B
The assessment of pain requires the nurse assess location, quality, and intensity based on an identified scale. Vital signs are important in addition but are not part of the six steps.
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The nurse chooses to use a health contract/calendar as a behavior-changing tool for an older adult client who wants to lose weight. Which of the following principles should the nurse keep in mind when choosing this tool?
a. it relies on the self-management capability of a client, after initial assistance is provided by a clinician or health educator b. it relies on the ability and skill of the educator c. it has been shown to be less effective with females who are older and widowed d. it cannot be used in older adults with less than a high school education
Alterations in hormonal balance and mechanical stretching are responsible for several changes in the integumentary system during pregnancy. Stretch marks often occur on the abdomen and breasts. These are referred to as
a. Chloasma b. Linea nigra c. Striae gravidarum d. Angiomas
The nurse is preparing a school-age child for computed tomography (CT scan) to assess cerebral function. The nurse should include which statement in preparing the child?
a. "Pain medication will be given." b. "The scan will not hurt." c. "You will be able to move once the equipment is in place." d. "Unfortunately, no one can remain in the room with you during the test."
Which of the hormones may cause a person to experience side effects such as depression, edema, and apathy?
A. testosterone B. estrogen C. oxytocin D. progesterone