Which of the following is most indicative of pain in a client who is confused? (Select all that apply.)
A. Behavior change
B. Body language
C. Facial grimace
D. Restlessness
C, D
Rationale: Typical pain scales cannot be used effectively in the client who is confused. Therefore, nonverbal indicators must be assessed. A study by Feldt, in Pain Management Nursing, found that these two symptoms were the most common pain indicators.
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The nurse has implemented several planned interventions to address the nursing diagnosis of acute pain. Which would be the next appropriate action?
a. Establish priorities. b. Identify expected outcomes. c. Evaluate the individual's condition, and compare actual outcomes with expected outcomes. d. Interpret data, and then identify clusters of cues and make inferences.
A middle-aged male patient has received a diagnosis of amyotrophic lateral sclerosis (ALS) and has begun treatment with riluzole (Rilutek). The patient's nurse should recognize what goal of this treatment regimen?
A) Restoration of normal motor nerve function B) Maintenance of normal mobility and activities of daily living C) Delaying of tracheostomy or mechanical ventilation D) Relief of neuropathic pain
Your client is sleeping and you can see rapid movement of the eyes beneath the closed lids. You know that the client is in which stage of sleep?
1. stage 2 2. stage 3 3. stage 4 4. REM
The maximum number of pages that can be used to describe the four major sections of the proposed research plan in an NIH grant application is:
A) 8 B) 27 C) 40 D) No page limitations