The nurse is assessing a patient's response to pain. Why should the nurse do this for every patient situation?
A. Most people have the same pain response to surgery.
B. Everyone perceives painful stimuli at the same intensity.
C. Everyone has the same pain threshold.
D. Everyone has a unique tolerance to pain.
Answer: D
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Following a ST-segment myocardial infarction (STEMI), the nurse should be assessing the patient for which of the following complications? Select all that apply
A) Large amount of pink, frothy sputum and new onset of murmur B) Tachypnea with respiratory distress C) Frequent ventricular arrhythmia unrelieved with amiodarone drip D) Complaints of facial numbness and tingling E) Enhanced renal perfusion as seen as an increase in urine output
A client hospitalized with diabetic ketoacidosis calls the nurse and reports feeling hungry, shaky, and anxious. Which action by the nurse is most appropriate?
1. Administer 10 mg glucagon intramuscularly. 2. Give 6 oz of orange juice to drink. 3. Check the client's blood pressure and pulse. 4. Call the lab to draw blood for a glucose level.
An 80-year-old woman lives with her husband of 50 years. Even though she has a heart condition, she attends an exercise class for seniors twice a week. She and her husband make sure they drink 4 ounces of juice at all three of their daily meals
What factors would place this woman at risk for constipation. a. her age c. her fluid intake b. her activity level d. her dietary intake
A child has undergone surgery using steel bar placement to correct pectus excavatum. What position would the nurse instruct the parents to avoid?
A) Semi-Fowler B) Supine C) High Fowler D) Side-lying