The nurse is collecting data for a patient who is reporting pain in the left knee. What question should the nurse ask to address radiation of the pain?
a. "Is the pain intense?"
b. "Is the pain burning?"
c. "Does the pain move?"
d. "How would you describe the pain?"
ANS: C
Asking if the pain moves assesses for radiation. B. D. Asking if the pain burns or for the patient to describe the pain determines the quality of the pain. A. Asking if the pain is intense determines the severity.
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The patient has been prescribed inamrinone (Inocor). Before administering the drug the nurse needs to know the drug has what pharmacokinetic effect?
A) Decrease in cyclic adenosine monophosphate (cAMP) B) Decrease in cardiac output C) Increase in cardiac preload D) Increase in cAMP
The nurse provides discharge teaching to an older patient diagnosed with iron deficiency anemia. Which statement by the patient indicates additional instruction is needed?
1. "I will take my ferrous sulfate tablet with my breakfast." 2. "I will take my ferrous sulfate tablet on an empty stomach." 3. "I will eat oatmeal for breakfast while I am taking my ferrous sulfate." 4. "I will increase my fluid intake while I am taking my ferrous sulfate."
During a home visit, a postpartum patient is complaining of a painful area on one breast. The nurse notes a local area on one breast to be red and warm to touch. For which health problem should the nurse plan care for this patient?
A) Mastitis B) Breast cancer C) Engorgement D) Plugged milk duct
The nurse has collected the following data on a client in labor: the fetal heart rate (FHR) is 154 beats/min and is regular; and contractions have moderate intensity, occur every 5 minutes, and have a duration of 35 seconds
Using this information, the nurse should take which most appro-priate action? 1. Prepare for imminent delivery. 2. Continue to monitor the client. 3. Report the findings to the obstetrician. 4. Report the FHR to the anesthesiologist on call.