When a client is assessed, which behavior best indicates that he or she is experiencing changes associated with acute pain?
a. Anger and hostility
b. Expressed hopelessness
c. Inability to concentrate
d. Psychosocial withdrawal
C
The characteristics most common to chronic pain are psychosocial withdrawal, anger and hostil-ity, depression, and hopelessness. The inability to concentrate is associated much more with acute pain, before any physiologic or behavioral adaptation has occurred.
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A child is taking desmopressin acetate (DDAVP) for von Willebrand's disease. What teaching about this medication does the nurse provide?
A. Avoid products with aspirin (salicylate) in them. B. Get a new needle for each injection. C. Monitor your child's weight and report a gain. D. Use ice packs and pressure for epistaxis.
The nurse will be assisting the physician with a bone marrow aspiration. Where should the nurse cleanse, clip hair, and drape the skin prior to the procedure?
A) Over the posterior superior iliac crest B) Over the anterior tibia C) Over the radius D) Over the metatarsal area
The nurse is assigned to care for a client with cirrhosis of the liver. The nurse recognizes the client's impaired liver function will affect:
A) metabolism of drugs. B) formation of hydrochloric acid. C) production of digestive enzymes. D) formation of red blood cells.
The female client is intubated and on a ventilator and the client's partner tells the nurse that she is very restless. Which should the nurse implement first?
1. Reassure the client with a soft, low voice. 2. Administer an antianxiety agent to client. 3. Check the client's SaO2 and blood pressure. 4. Explain that this is common client behavior.