The nurse is performing a pain assessment on a client who is unable to communicate verbally. Which vital sign data should the nurse understand is associated with acute pain? Select all that apply.
A. Temperature of 100.6 degrees.
B. Blood pressure 158/92 mmHg.
C. Pulse rate 94.
D. Facial grimacing.
E. Respiratory rate 32.
Answer:
B. Blood pressure 158/92 mmHg.
C. Pulse rate 94.
D. Facial grimacing.
E. Respiratory rate 32.
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While assessing the nutritional status of a client from a non-English speaking culture, the nurse asks about specific food habits. Which aspect of culture is the nurse addressing at this time?
a. Foodway b. Food roles c. Health beliefs d. Eating etiquette
A 5-year-old determines that his parents enforce discipline based upon his behavior. According to Piaget, what does this period represent?
A) Homozygous moral reasoning B) Heteronymous moral reasoning C) Autonomous moral reasoning D) Independent moral reasoning
After 3 weeks, you are providing discharge teaching for J.M. you ask her whether she is ready to go home. J.M. states, "I'll be so glad to get out of this place. I'm so fat and ugly
I need to lose 10 pounds. I bet I can do it in just a couple of days. Otherwise, I don't want to live anymore." What will you discuss with the physician before any further discharge teaching or plans? You report J.M.'s statements to the physician. What actions do you expect the physician to take? What medications would be indicated for J.M. to assist with resolution of both her anorexia nervosa and her depression? Which statements by J.M. would indicate successful treatment? Select all that apply. a. "When you say I look 'healthy' I feel fat." b. "Lately I've been feeling a little better about things." c. "It's up to me to take care of my body by eating enough food." d. "I just have to stay skinny to feel good." e. "I am looking forward to going out with my friends again."