A patient has had chronic back pain for several years. On assessment, the nurse notes that the patient sits quietly in a chair, reads a book, talks with a companion, and does not appear to be in pain
When questioned, the patient rates the pain as a 6 on a scale of 0 to 10. How does the nurse interpret these data?
a. Many patients cannot be believed when they complain of severe pain lasting many months.
b. Patients may not have the same objective responses to chronic pain because of compensation over time.
c. The patient probably has already taken a very effective pain medication.
d. This patient is probably not having as much pain as reported initially, and more assessment is required.
ANS: B
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A postoperative patient who has no previous medical conditions is difficult to arouse when transferred to the surgical unit from the postanesthesia care unit. A nurse monitors the pulse oximeter and gets a reading of 85%
What should be the nurse's next action? a. Assess the pulse oximeter reading again in 1 hour. b. Arouse the patient, have him cough, and encourage deep breathing. c. Administer a dose of pain medication. d. Suction fluid from the oral cavity.
Which statement is true regarding the elderly patient's response to multiple organ dysfunction in a critical care setting?
1. Preexisting medical conditions cause worse outcomes in the elderly. 2. The nurse should focus on the patient's chronologic age and not on physiologic age. 3. A change in the elderly's mentation is associated with aging. 4. Elderly patients have quick physiological responses to multiple organ dysfunction.
A client who is newly diagnosed with HIV asks the nurse if there are ways to protect the client's partner. Which of the client's statements indicates to the nurse that further instruction is needed?
1. "I know I have to practice safe sex with my partner.". 2. "I will not share my toothbrush or razor with my partner.". 3. "I know I can't donate blood anymore since I have HIV.". 4. "I know to use an oil-based lubricant to prevent spread of the disease to my partner.".
The nurse explains common triggers for asthma attacks to a client who was recently diagnosed. Which triggers should the nurse include in the teaching session? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1. Household dust 2. Aspirin (ASA) 3. Exercise in dry, warm climates 4. Tobacco smoke 5. Acetaminophen (Tylenol)