A nurse has determined that a patient's pain is acute and plans to administer pain medication. Which of the following are signs and symptoms of acute pain on which the nurse may have based her decision? Select all that apply
1. Dilated pupils
2. Constricted pupils
3. Syncope
4. Increased heart rate
5. Reduced attention span
ANS: 1, 3, 4, 5
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A client recovering from surgery to repair a fractured hip has a history of osteomyelitis. Which actions by the nurse may reduce this client's risk in the postoperative period?
Select all that apply. A) Assess for pain every 1-2 hours. B) Use sterile technique for dressing changes. C) Assess wound for size, color, and drainage. D) Administer antibiotics as prescribed. E) Administer anticoagulants as prescribed.
What would be the most effective action of the nurse when assisting an 85-year-old adult with weak abdominal muscles to defecate?
a. Encourage the use of a bedpan before getting up in the morning. b. Place a footstool under the feet of the patient when seated on the toilet. c. Insert a finger in the patient's rectum to stimulate the urge to defecate. d. Instruct the patient to do isometric exercises to strengthen the abdominal muscles.
Which substance forms the tough, horny layer of the skin?
A) Mucopolysaccharides B) Fat C) Keratin D) Vitamin D
A student nurse asks if an infectious disease is the same thing as a communicable disease. The nurse explains that an infectious disease is not necessarily a communicable disease
Which must a communicable disease have that an infectious disease does not have to have? (Select all that apply.) A) Pathogenic microorganism B) Portal of exit from the infected person C) Means of transmission D) Portal of entry to a susceptible host E) Organism that harbors the infectious agent