A student asks the nurse what is the best way to assess a client's pain. Which response by the nurse is best?
a. Numeric pain scale
b. Behavioral assessment
c. Objective observation
d. Client's self-report
ANS: D
Many ways to measure pain are in use, including numeric pain scales, behavioral assessments, and other objective observations. However, the most accurate way to assess pain is to get a self-report from the client.
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A patient with poorly controlled type 2 diabetes demonstrates high levels of serum C-peptide. What other findings should the nurse expect in this patient? Select all that apply
A) High levels of serum insulin B) High levels of blood glucose C) Decreased pancreatic activity D) Low body weight
A client comes into the emergency department with a body temperature of 94°F, irregular heart rate, and low blood pressure. The most beneficial nursing intervention for this client is to:
1. Administer warmed intravenous fluids. 2. Elevate the client's legs. 3. Elevate the head of the bed. 4. Provide a heating pad to the client's lower back.
A nurse is performing a developmental assessment on several children in a clinic setting. Which children exhibit a delay in meeting developmental milestones? (Select all that apply.)
1. A 5-year-old who is unable to button his shirt 2. A 2-year-old who is unable to cut with scissors 3. A 2-year-old who cannot recite her phone number 4. A 6-year-old who is unable to sit still for a short story 5. An 18-month-old toddler who is unable to speak in sentences
The nurse would question the administration of mineralocorticoid replacement therapy for which client?
1. Client with a defect in the stimulation of aldosterone secretion 2. Client with a defect in aldosterone sensitivity 3. Client with a defect in the secretion of aldosterone 4. Client with Conn syndrome