A client recovering from abdominal surgery refuses analgesia, saying that he is "fine, as long as he dosen't move." Which nursing diagnosis should be a priority:
A) Deficient Knowledge (pain control measures)
b) Ineffective Health Maintenance
Ans: A) Deficient Knowledge (pain control measures)
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While providing a hospital tour, the perinatal nurse shows the compact disc player stored in the birthing room. The nurse explains that music is encouraged during labor because it does which of the following? (Select all that apply.)
A. Decreases the production of catecholamines B. Increases maternal distraction C. Increases maternal oxygen demands D. Increases the production of endorphins E. Increases the woman's ability to focus
The nurse is caring for a client who was admitted to the hospital 1 day prior with cholelithiasis. Which new assessment finding indicates the stone has probably obstructed the common bile duct?
A) Nausea and vomiting B) Jaundice C) Right upper quadrant (RUQ) pain D) Elevated cholesterol level
The neurologic nurse is testing the function of a patient's cerebellum and basal ganglia. What action will most accurately test these structures?
A) Have the patient identify the location of a cotton swab on his or her skin with the eyes closed. B) Elicit the patient's response to a hypothetical problem. C) Ask the patient to close his or her eyes and discern between hot and cold stimuli. D) Guide the patient through the performance of rapid, alternating movements.
The nurse recognizes that a client has an increased risk of developing cancer of the colon based on a medical history including:
1. Poor dental hygiene. 2. Long-term consumption of soy. 3. Heavy consumption of alcohol. 4. Diet high in fat.