The nurse is caring for a client who is experiencing acute pain. Which action by the client, noted by the nurse during the assessment, is considered an associated symptom of pain?
1. Changing position
2. Crying
3. Grimacing
4. Vomiting
4
Rationale 1: Changing position, crying, and grimacing are manners of expressing pain.
Rationale 2: Changing position, crying, and grimacing are manners of expressing pain.
Rationale 3: Changing position, crying, and grimacing are manners of expressing pain.
Rationale 4: Symptoms that are often associated with pain include nausea, vomiting, and dizziness.
Global Rationale: Symptoms that are often associated with pain include nausea, vomiting, and dizziness. Changing position, crying, and grimacing are manners of expressing pain.
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a. temperature c. blood pressure b. pulse d. perineum
Which action by the nurse indicates that the correct procedure has been used to measure vital signs in a toddler?
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1. "The soil might contain contaminants that could harm your baby." 2. "This practice is completely unhealthy and should be stopped." 3. "Your grandmother gave you bad advice. Stop at once." 4. "There is no problem with this practice. Feel free to continue."