The nurse is completing an assessment on a client who just received morphine. Which is the nurse's highest priority?
A. Pain level
B. Respirations
C. Temperature
D. Blood pressure
Answer: B
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One of the major stressors in the ICU environment is
A) having IV medications. B) endotracheal intubation. C) seeing the nurse. D) having visitors.
A priority nursing assessment for a patient who is to receive an alpha- or beta-adrenergic antagonist would be to
A) assess heart rate. B) check blood glucose level. C) measure urine output. D) monitor respiratory rate.
The nurse is preparing to assess a patient's musculoskeletal status. In which order should the nurse perform the techniques of this examination?
Choice 1. Assess joints for swelling, pain, redness, warmth, crepitus, and range of motion (ROM). Choice 2. Inspect and palpate the bones for any obvious deformity or changes in size, shape, or a painful response. Choice 3. Measure the extremities for length and circumference, and compare limbs bilaterally. Choice 4. Assess gait and posture.
Which of the following is a clinical identifier of metabolic syndrome?
A) Waist circumference of 38 inches for a male B) Waist circumference of 34 inches for a female C) BP of 134/88 for a male D) BP of 128/84 for a female