Nellie is a student nurse who is working for a diabetes unit. Her nurse manager has prepared a very thorough orientation for her, which includes check-offs for taking vital signs
Nellie's nurse manager has told her that their hospital has adopted the Joint Commission's pain standard and that they will be assessing five vital signs. Nellie knows that the fifth vital sign is: A. arterial blood gasses.
B. blood sugar.
C. blood pressure.
D. pain.
D
The Joint Commission has a pain standard that requires health care workers to assess all patients for pain on a regular basis. Many health care institutions have adopted this standard by recom-mending pain as a "fifth vital sign."
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While planning a patient's care, the nurse identifies nursing actions to minimize the patient's pleuritic pain. Which intervention should the nurse include in the plan of care?
A) Avoid actions that will cause the patient to breathe deeply. B) Ambulate the patient at least three times daily. C) Arrange for a soft-textured diet and increased fluid intake. D) Encourage the patient to speak as little as possible
A client is having contractions that are lasting 20–30 seconds and occurring every 8–20 minutes. The client is requesting something to help relieve the discomfort of contractions. The nurse should suggest:
1. That a mild analgesic be administered. 2. An epidural. 3. A local anesthetic block. 4. Nonpharmacologic methods for pain relief.
The nurse assessing a patient's musculoskeletal status notes that the left shoulder is flat. This finding would be most consistent with which of the following?
1. Dislocation 2. Scoliosis 3. Arthritis 4. Rotator cuff tear
Hispanic native healers (curanderas):
1. Are not heavily utilized by Hispanics who immigrate to the United States 2. Use herbs and teas in their treatment of illness 3. Provide unsafe advice to Hispanics and should not be trusted 4. Need to be licensed in their home country in order to practice in the United States