The nurse is assessing an older adult patient with dementia for pain using the Pain Assessment in Advanced Dementia Scale (PAINAD)
The patient is experiencing short periods of hyperventilation, occasionally moans, is frowning, and is tense, but is reassured by the nurse's touch. Which score will the nurse document for this patient?
1) 5
2) 6
3) 7
4) 8
ANS: 1
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A small rural hospital has open shifts on its medical-surgical unit. The manager has listed open shifts on the hospital?s intranet. This type of scheduling is an example of:
1. External pools. 2. Internal pools. 3. Open shift management. 4. Float pools.
The nurse is caring for a client who has chosen to discontinue hemodialysis. The client's family, however, is not supportive of the decision. The nurse who uses the theory of principles-based reasoning would make which statement regarding the current situ
A) "The client understands the decision and the advanced stage of the disease. If the client quits treatment, the client will die." B) "I need to try to help the family understand the client's decision so they can work through this situation together." C) "This client is of sound mind and is capable of making independent decisions regarding health care. It really is the client's decision to make." D) "This client's health is so deteriorated that the treatment is not saving the client's life. It is prolonging the ultimate outcome, which is death."
A client with MG began to experience a sudden worsening of her condition with difficulty in breathing. The nurse explains that this complication of MG is usually initially treated with
a. admission and administration of IV corticosteroids. b. an increased dose of anticholinesterase drugs. c. bolus doses of atropine titrated to effect. d. rest and increased sleep.
Which action can the nurse take to improve the quality of the electrocardiographic rhythm transmission to the monitoring system?
A. Apply lotion to the client's chest before attaching the chest leads. B. Remove the hair from the chest area before attaching the chest leads. C. Instruct the client not to wear any clothing made from synthetic fabrics during the test. D. Place the first negative electrode in the left midclavicular position and place a second negative electrode in the V1 position.