On the evening of the first postoperative day, E.B. becomes more awake and begins to
complain of pain. He states, "My right leg is really hurting; how can it hurt so bad if it's
gone?" What is your best response?
a. "That is a side effect of the medication."
b. "You can't be feeling that because your leg was amputated."
c. "Don't worry, that sensation will go away in a few days."
d. "Are you able to rate that pain on a scale of 1 to 10?"
d
E.B.'s pain is real, and the nurse needs to believe the patient and assess the pain, whether the leg
is present or not.
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When conducting a nursing assessment of the gastrointestinal tract, all of the following questions may be helpful except
a. Food intolerances b. Use of laxatives c. Sexual activity d. Abdominal distress before or after meals
In reviewing nursing home residents' tuberculin tests, a nurse should keep in mind that, in older adults, the results of such skin tests may be altered by which of the following?
A) Patients' increased exposure to antigens in an institutional setting. B) The delayed cutaneous hypersensitivity response. C) Improvement in the ability of monocytes to kill bacteria. D) Increased neutrophil antibacterial activity.
Nurses working in environments such as summer camps should:
a. be aware of the life-threatening allergies of their clients. b. instruct all campers to have decongestants and antihistamines with them at camp. c. consult with a health care provider to establish protocols regarding actions to be taken during emergencies. d. keep emergency supplies like diphenhydramine HCl (Benadryl) on hand.
The nurse should plan which interventions when caring for a child with a hearing loss? Select all that apply
a. Speak loudly. b. Speak slowly. c. Do not slow speech. d. Use visual aids. e. Eliminate background noise.