The patient returning from surgery complains of incisional pain that is now rated 7 in intensity on the 1 to 10 pain scale. As a nurse, you know that pain is an example of:
1. general adaptation syndrome.
2. local adaptation syndrome.
3. counter-current response.
4. neuroendocrine response.
2
Local adaptation syndrome is a short-term, local response to a specific stressor. Examples include pain, blood clotting, and wound healing.
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The nurse has admitted a patient to the ED following a fall from a first-floor hotel balcony. The patient is 22 years old and smells of alcohol. The patient begins to vomit in the ED. Which of the following interventions is most appropriate?
a. Insert an oral airway to prevent aspiration and to protect the airway. b. Offer the patient an emesis basin so that you can measure the amount of emesis. c. Prepare to suction the oropharynx while maintaining cervical spine immobilization. d. Send a specimen of the emesis to the laboratory for analysis of blood alcohol content.
A nurse has agreed to participate in a videotaped deposition in a malpractice case. What does this indicate?
1. The nurse is testifying as an expert witness. 2. The nurse's testimony can be presented in court, even though the nurse is unavailable for the trial date. 3. The nurse is afraid testimony will adversely affect employment opportunities. 4. The plaintiff's attorney believes the nurse is a liability for personal trial appearance, but will be credible on tape.
Which term is used to describe an abnormally increased convex angulation in the curvature of the thoracic spine?
a. Scoliosis b. Ankylosis c. Lordosis d. Kyphosis
The nurse admitting a client to a same day surgery unit makes the decision to notify the surgical team to cancel the procedure based on the client's statement that:
a. "Will I start taking my St John's Wort as soon as I can eat again?" b. "I've haven't taken my ginkgo for exactly 10 days." c. "I didn't want to risk catching a cold so I took my Echinacea with just a sip of water." d. "It seemed strange not taking my garlic pill this morning."