Along which of the following dimensions do self-report methods vary?
A) Structure
B) Quantifiability
C) Objectivity
D) All of the above
D
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The nurse is discussing effective pain management with a client's spouse. Key strategies for reducing pain include: Standard Text: Select all that apply
1. Acknowledging the pain. 2. Distraction from pain medication. 3. Involving the spouse in provision of pain relief. 4. Education about pain and its treatment. 5. Preventing pain.
The nurse is preparing to provide care for a client with a C4 spinal cord injury. What should be the priority of care for this client?
1. Taking a shower 2. Maintaining the airway 3. Making an unoccupied bed 4. Using a manual wheelchair
Fifteen minutes after beginning a transfusion of O negative blood to a patient in shock, the nurse assesses a drop in the patient's blood pressure to 60/40 mm Hg, heart rate 135 beats/min, respirations 40 breaths/min, and a temperature of 102° F
The nurse notes the new onset of hematuria in the patient's Foley catheter. What are the priority nursing actions? (Select all that apply.) a. Administer acetaminophen (Tylenol). b. Document the patient's response. c. Increase the rate of transfusion. d. Notify the blood bank. e. Notify the physician. f. Stop the transfusion.
A burn victim is brought to the emergency room. While assessing this patient, the nurse notes that the patient's face is a cherry-red color. What should the nurse suspect?
A) Carbon monoxide poisoning B) Anemia C) Jaundice D) Uremia