A client recovering from surgery tells the nurse that she is nauseated and is experiencing an increase in pain. Which of the following does this client's symptoms suggest to the nurse?
1. The client is becoming dependent upon the pain medication.
2. The client's pain threshold is lower when experiencing nausea.
3. The client is experiencing withdrawal symptoms from pain medication.
4. The client is experiencing referred pain.
2
Pain threshold is influenced by nausea, fatigue, and lack of sleep. The client experiencing an increase in pain during nausea is demonstrating an alteration in the pain threshold. The client is not becoming dependent upon the pain medication. The client is not experiencing withdrawal symptoms. The client is also not experiencing referred pain.
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A patient who overdosed on aspirin is brought to the emergency department. The nurse caring for this patient should anticipate which of the following clinical manifestations? Select all that apply
A) Respiratory rate of 40 B) BP 100/72 C) ABG report: pH 7.50, PCO2 31 mm Hg, and HCO3 level 19 mmol/L. D) Urine output approximately 100 mL/hour E) Bilateral crackles (fluid) in the lungs
After several hours of labor, the electronic fetal monitor (EFM) shows repetitive variable decelerations in the fetal heart rate. You would interpret the decelerations to be consistent with:
1. Breech presentation. 2. Uteroplacental insufficiency. 3. Compression of the fetal head. 4. Umbilical cord comprehension.
What is most important in the management of cellulitis?
a. Burow solution compresses b. Oral or parenteral antibiotics c. Topical application of an antibiotic d. Incision and drainage of severe lesions
A client with paraplegia is scheduled to participate in a rehabilitation program. The client states, "I do not understand the need for rehabilitation; the paralysis will not go away and it will not get better." How does the nurse respond?
a. "If you do not want to participate in the rehabilitation program, I will cancel the order." b. "Your doctor has helped many clients with your injury and has ordered a reha-bilitation program to help you." c. "The rehabilitation program will teach you how to maintain the functional ability you have and prevent further disability." d. "When new discoveries are made regard-ing paraplegia, people in rehabilitation programs will benefit first."