Your client had gastric surgery and is restless, grimacing with each movement. Your client also has a rigid posture and is diaphoretic. On the basis of this objective data, what would you consider as a nursing diagnosis?
1. Nausea related to surgery and anesthesia
2. Acute pain related to surgical incision and movement
3. Injury related to retained surgical instrument
4. Acute pain related to lack of pain medication
ANS: 2
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The nurse is teaching a group of parents about the role of testosterone in puberty for boys
To evaluate the group's understanding, the nurse asks, "What physiologic effects related to testoste-rone can you expect to see in your sons?" Which of the following responses indicates an under-standing of the role of testosterone in male puberty? (Select all that apply.) a. "It promotes skeletal muscle growth." b. "It increases height and weight." c. "It delays epiphyseal closure." d. "It causes a high-pitched voice." e. "It causes acne."
A patient has just been admitted for labor and delivery. She is having mild contractions lasting 30 seconds every 15 minutes. The patient wants to have a medication-free birth
When discussing medication alternatives, the nurse should be sure the patient understands that: 1. In order to respect her wishes, no medication will be given. 2. Pain relief will allow a more enjoyable birth experience. 3. The use of medications allows the patient to rest and be less fatigued. 4. Maternal pain and stress can have a more adverse effect on the fetus than would a small amount of analgesia.
An instructor is describing the systems life cycle and compares it to the nursing process. Which of the following would the instructor include as a similarity about the life cycle? Select all that apply
A) Begins with assessment B) Has a definite end point C) Uses different terminology D) Has a variable number of steps E) Has little opportunities for iteration
A nurse is part of a committee that is working to develop and implement an electronic documentation system. Which of the following would the committee do first during the initiating phase?
A) Identify the risks B) Complete a needs assessment C) Identify the project goal D) Prepare for scope creep