Pain is best measured by monitoring vital signs
A) True
B) False
B
You might also like to view...
The mother of an adolescent boy asks the nurse if boys have body changes that mark the beginning of puberty for which she needs to prepare her son, like she prepared her daughter for menarche
The best answer by the nurse would be that adolescent boys: 1. "Do not need or benefit from any particular preparation for the onset of puberty." 2. "Need preparation for regular nocturnal emissions about every two weeks." 3. "Need instructions on good hygiene and shaving most of all." 4. "Benefit from preparation about sudden enlargement of the scrotum and penis."
Psychotropic medications can cause a parasympathetic and/or sympathetic response from the autonomic nervous system. Which of the following is considered a sympathetic response?
a. Pupil dilation b. Increased saliva production c. Decreased heart rate d. Constricted airway
Classically in mitral valve prolapse, the clinician can hear a(n) ____
A. Mid-systolic click followed by a grade I murmur that crescendos up to S2 B. Opening snap followed by a grade III holosystolic murmur C. Crescendo-decrescendo grade I diastolic murmur after S2 D. Rough grade III holosystolic murmur that obscures S1 and S2
A patient is admitted to the burn unit with burns to the head, face, and hands. Initially, wheezes are heard, but an hour later, the lung sounds are decreased and no wheezes are audible. What is the best action for the nurse to take?
a. Encourage the patient to cough and auscultate the lungs again. b. Notify the health care provider and prepare for endotracheal intubation. c. Document the results and continue to monitor the patient's respiratory rate. d. Reposition the patient in high-Fowler's position and reassess breath sounds.