What is the MOST reliable indicator to use in determining a client's level of pain?
a. increased heart rate and blood pressure from baseline readings
b. nonverbal signals such as grimacing or diaphoresis during normal activities
c. the client's self-report of pain
d. the stage of the client's disease
C
Pain is considered to be subject data. The most reliable indicator to use in determining a client's level of pain is the client's self-report of pain.
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Which of the following best explains why it is difficult to get others interested in environmental health?
a. Environmental problems just are not interesting or dramatic. b. It's difficult to get media interested. c. People respond more to an acute crisis than chronic environmental problems. d. People respond more to an individual asking for help than a community asking for help.
The nurse, caring for a patient who sustained a traumatic injury several days ago, notes that the patient is hypotensive, oliguric, and has cool, pale skin and acidosis. The nurse understands that these are manifestations of which type of shock?
1. hypovolemic 2. cardiogenic 3. septic 4. anaphylactic
Percussion and vibration is ordered on a patient with retained pulmonary secretions. Which action by the student nurse should the nursing instructor question?
a. Performs percussion for 3 to 5 minutes in each position as tolerated b. Uses the wrist and elbow to create movement when performing percussion c. While the patient inhales, gently pushes down and vibrates the chest wall with the flat part of the hand d. Repeats the vibration 3 times and then instructs the patient to take a deep breath and cough while exhaling
Select the correct clinical indication associated with the use of IV dobutamine (Dobutrex), a drug that is similar to dopamine but has greater beta-1 effects.
A. Acute allergy or asthma B. Hypertension C. Benign prostatic hyperplasia D. Acute heart failure