The client may become diaphoretic, and the pupils dilate. The client may also be restless and anxious. The client may rub the site of pain, cry, or guard with movement.
A. Acute Pain
B. Chronic Pain
C. Cancer Pain
Answer: A. Acute Pain
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The nurse approaches a group of patients, one of whom is to receive a dose of medication. Which is the best method for the nurse to identify the patient needing the medication?
a. Question the entire group by calling for the specific patient. b. Request that the other patients identify the patient. c. Ask the patients who is scheduled to re-ceive medications now. d. Compare the patients' identification bracelets with the specific medication ad-ministration record (MAR) and ask the patient to state his name.
A nurse is caring for a client who has been graded as +3 in the Get-up-and-go Test,
which grades the client's ability to rise from a chair. Which does a +3 grade indicate? A) Able to get up after multiple attempts B) Unable to rise without assistance C) Able to rise in a single movement D) Able to push up and succeed in a single try
The nurse is planning the discharge of a client with a known long-term deficit of ADH. The nurse recognizes that the discharge orders for an ADH supplement will most likely require teaching about:
1. self-administration of an every-third-day intramuscular preparation. 2. self-administration of a weekly intravenous preparation. 3. self-administration of an oral or intranasal preparation. 4. self-administration of a daily subcutaneous preparation.
A client diagnosed with schizoaffective disorder has threatened suicide
While developing the care plan, the nurse puts in the nurse's notes, "The client, though disheveled, is articulate and has a clear plan for suicide, but has made no current attempts." The nursing note helps the nurse develop the behavioral contract by: 1. Orienting the client to the nursing process. 2. Considering interactions during the assessment process. 3. Observing essential information. 4. Cooperating with the family.