A client's leg was pinned under a piece of heavy equipment in the workplace for several hours, during which he was in severe pain. The physiologic response that the occupational health nurse could have assessed in this situation is
a. a wide pulse pressure.
b. constricted pupils.
c. dry, cold skin.
d. tachycardia.
D
The physiologic response to acute pain is caused by stimulation of the sympathetic nervous sys-tem. The client will probably exhibit the manifestations of (a) increased or decreased blood pressure, (b) tachycardia, (c) diaphoresis, (d) tachypnea, (e) focusing on the pain, and (f) guard-ing the painful part.
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The Liberal Democratic Theory of John Rawls stresses the values of liberty and equality. Which of the following statements fit his theory?
1. Rejection of any idea that societies, states, or collectives of any form can be the bearers of right or can owe duties. 2. Inequalities result from birth, natural endowment, and historic circumstances. 3. Everyone has a right to private property. 4. Government should be limited.
The acute phase of the burn begins 48 to 72 hours after the burn. What begins at this time?
A) Cardiac output decreases B) Renal failure begins C) Diuresis D) Fluid moves from intravascular compartment to interstitial spaces
The nurse teaching a class for pregnant women explains that the role of the placenta in fetal development includes:
A) transporting blood from the mother to the fetus. B) protecting the fetus from maternal drug use. C) producing relaxin to allow for pelvic stretching. D) storing oxytocin to prepare for labor contractions.
A newly immigrated client is constantly attended to by family members. This has presented a problem to the nursing staff and the delivery of nursing care. In order to address this issue in a culturally sensitive manner, the nurse:
1. explains to the client that he has to limit visitors. 2. Evaluate the benefits of family participation in the client's care. 3. Questions the family as to how they see their interaction with the client. 4. Have the physician limit the number of visitors the client can have.