Your client is a 36-year-old man with a below-knee amputation. He complains of pain where his leg used to be. This is an example of _____ pain
1. nociceptive
2. visceral
3. neuropathic
4. somatic
ANS: 3
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The perinatal nurse is caring for a patient with preeclampsia. What intervention does the nurse include on this patient's care plan?
A. Administer magnesium sulfate per agency policy. B. Assess the patient's blood pressure every 6 hours. C. Encourage the patient to rest on her back. D. Notify the physician of urine output greater than 30 mL/hr.
The client's family says, "We don't understand what is happening to Dad. He seems better earlier in the day and then in the evening his confusion and agitation really increase."
What is the best explanation by the nurse for what the client is experiencing? 1. Delirium 2. Anxiety 3. Psychosis 4. Sundown syndrome
A 27-year-old client has been married and divorced four times. The client is admitted to a psychiatric unit with a diagnosis of borderline personality disorder
As a nurse starts to leave the unit at the end of the shift, the client runs up to the nurse, puts her arms around the nurse, and yells, "Please don't go! You're the only one who understands me. If you go, I won't have anyone!" With which behavior should the nurse correlate this client's behavior? A) Splitting B) Manipulation C) Clinging D) Impulsivity
The patient receives enalapril (Vasotec) as treatment for heart failure. What is the best nursing assessment following the initial administration of this drug?
1. Assess the patient for ototoxicity. 2. Assess the patient's blood pressure. 3. Assess the patient for an irregular pulse. 4. Assess the patient for a serious rash.