The nurse is caring for two patients. An older patient reports abdominal pain as being 5 out of 10 on the pain rating scale, whereas a younger patient reports left lower quadrant abdominal pain as being 10 out 10 on the scale

What would the nurse identify as reason for the discrepancy between the two patients' measurements of pain? 1. Younger patients tend to be more dramatic when complaining of pain.
2. Visceral pain is less severe in older patients and may be reported as mild.
3. Visceral pain is more severe in older patients, but they are less likely to complain.
4. Visceral pain is less severe in younger patients but is reported as high in intensity.


2
Rationale: There is no evidence to support that younger patients are more dramatic when complaining of pain.

Nursing

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Purkinje fibers are located in the:

a. sinoatrial node. b. atrioventricular node. c. myocardium. d. aortic arch.

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The nurse admits the patient to rule out leukemia and prepares him for definitive diagnostic testing. Which is the best question to ask the patient before the procedure?

a. "Do you ever feel claustrophobic?" b. "Are you allergic to iodine or shellfish?" c. "Have you ever had an electrocardio-gram?" d. "Can you lie on your stomach for 20 to 30 minutes?"

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A child with a known diagnosis of acute renal failure is assessed. The nurse knows that the most immediate threat to this child's life is:

1. Hypocalcaemia. 2. Hyperkalemia. 3. Hyponatremia. 4. Hyperglycemia.

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