To perform a nursing assessment correctly, the nurse must remember that pain perception involves several different variables, including afferent and efferent pathways, which are part of the:
1. cardiovascular system.
2. central nervous system.
3. lymphatic system.
4. circulatory system.
2
Pain perception ascends to the brain and back down again to imprint the pain. These are functions of the CNS.
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A 6-year-old postoperative patient IV has infiltrated, and has to be restarted immediately for medication. There is no time for placing local anaesthetic cream on the skin
What other complementary therapies would be most helpful when placing this IV? 1. Moderate sedation 2. Restraints 3. Distraction 4. Anesthesia
The nurse enters the client's room to obtain consent for a procedure to be performed tomorrow
When the nurse asks if the client has any questions, the client says, "Well, I didn't hear everything the doctor said, but I will still sign the consent." What is the nurse's priority action? 1. Notify the physician immediately. 2. Explain the part of the information the client did not understand. 3. Obtain a written handout explaining the procedure. 4. Allow the client to sign the consent form.
What will the nurse teach the older client with hypertension who complains that "food does not taste good without salt"?
a. Salt can be used as long as blood pressure remains controlled. b. All salt should be removed from the diet to preserve kidney function. c. Table salt can be used in small amounts in conjunction with diuretics. d. Herbs and spices can be substituted to season food.
Of the following patients, which one is the best candidate to have his temperature taken orally?
a. A 27-year-old postoperative patient with an elevated temperature b. A teenage boy who has just returned from outside "for a smoke" c. An 87-year-old confused male suspected of hypothermia d. A 20-year-old male with a history of epilepsy