The perinatal nurse is assessing Maria, a 36-year-old woman at term who is in early labor. The assessments that would indicate that Maria is experiencing pain include:
Select all answers that apply:
A) Pulse rate of 96 beats per minute
B) Verbalizations of concern about her coping ability
C) Irritability related to repeated questions during contractions
D) Blood pressure of 100/64
A, B, C
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When assessing a client in the pretreatment evaluation phase prior to radiation therapy, the nurse most needs to assess which of the following things?
1. Nutritional status 2. Client's commitment to the full course of treatment 3. Presence of any metal objects in the client's body 4. Skin integrity
A nurse is caring for a Sunni Muslim patient. The nurse demonstrates cultural sensitivity by
a. allowing the patient to pray three times daily. b. placing the patient's dinner tray on top of the Koran. c. offering the patient food and fluids during Ramadan. d. positioning the patient's bed in a southeast direction from the United States.
An adult in the emergency department states, "Everything I see appears to be waving. I am outside my body looking at myself. I think I'm losing my mind." Vital signs are slightly elevated. The nurse should suspect:
a. a schizophrenic episode. b. hallucinogen ingestion. c. opium intoxication. d. cocaine overdose.
________ is a protein that makes up fibers in connective tissue and builds up in the lungs during aging, thus decreasing lung elasticity.
Fill in the blank(s) with the appropriate word(s).