Your client, a 30-year-old, is being seen in the emergency room for a possible fractured leg. The client cries out in pain and asks for medication to help relieve it. Which of the following nursing diagnoses would be appropriate?
1. Ineffective coping
2. Hopelessness
3. Acute pain
4. Chronic pain
ANS: 3
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An adult female client wishes to begin taking oral contraceptives. The medical history indicates that the client had a deep vein thrombosis three years ago
After reviewing the objectives set forth in Healthy People 2020, which response by the nurse is the most appropriate? 1. "We can have the healthcare provider write you a prescription today." 2. "You will also have to take blood thinners." 3. "I need to perform a Homan's test on you." 4. "Taking oral contraceptives increases your risk of developing clots."
What type of thermometer would be the best choice when assessing the temperature of an older adult?
a. Electronic thermometer, because it only takes a few seconds to assess temperature b. Oral thermometer, because the presence of dry mucous membranes gives a more valid temperature c. Axillary thermometer, because its position is nearer the heart d. Rectal thermometer, because it is the best indicator of the body core temperature
The nurse assists and educates clients on the difference between nonspecific and specific immunity. Which would be the best description by the nurse to the clients about humoral immunity?
1 . Destruction of antigens by antibodies 2 . Destruction of antigens by T cells 3 . Exposure to disease-causing organisms over one's lifetime 4 . Protects the body against circulating disease producing antigens and bacteria A) 1, 2 B) 1, 4 C) 2, 3 D) 3, 4
Assessment of a client's skin reveals several individual and distinct 2-mm lesions on the client's back. The nurse would document the configuration as which of the following?
A) Discrete B) Linear C) Annular D) Confluent