Although the patient with a kidney stone denies pain, the nurse assesses cues that indicate that pain is perceived. These cues include: (Select all that apply.)
a. increased pulse rate.
b. decreased respiratory rate.
c. sweating.
d. muscle tension.
e. nausea.
A, C, D, E
The respiratory rate increases in patients in acute pain.
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A postoperative client tells the nurse he is not in excessive pain. The nurse observes that the client's labored respirations and increased perspiration when moving in the bed
The nurse may consider administration of a pain medication based on the client's: a. feedback c. nonverbal communication b. kinesthetic communication d. verbal communication
A patient who is being counseled for somatoform pain disorder states he believes his pain is the result of an undiagnosed injury
He adds that he cannot adhere to his plan for care involving performing his own activities of daily living, walking 20 minutes daily, and using pain medication only at bedtime. He states he feels "like a baby" because his wife and children must provide so much care for him. The nurse understands that it is most important to assess: a. mood. b. cognitive style. c. secondary gains. d. identity and memory.
While discussing coronary heart disease risk factors with a group of factory employees, the nurse includes which options as modifiable risk factors?
Select all that apply. 1. hypertension 2. diabetes mellitus 3. obesity 4. age 5. heredity
Which nursing intervention is appropriate in the management of the preterm infant with hypothermia? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Warm the baby rapidly to reverse the hypothermia. 2. Monitor skin temperature every 2 hours to determine whether the infant's temperature is increasing. 3. Keep IV fluids at room temperature. 4. Initiate efforts to maintain the newborn in a neutral thermal environment. 5. Warm the baby slowly to reverse hypothermia and reach a neutral thermal environment.