The nurse anticipates certain psychosocial responses to pain from clients. The factors affecting a person's perceptions and reactions to pain include: Standard Text: Select all that apply
1. Cultural background can affect pain threshold.
2. Cultural background can affect the level of pain that an individual is willing to tolerate.
3. Children are often undertreated for pain.
4. Education related to pain can affect the perceived quality of life for both clients and their caregivers.
5. Previous pain experiences influence a client's expectations for relief.
2,3,4,5
Rationale: There appears to be little variation in pain threshold.
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The nurse is caring for a patient diagnosed with amebiasis caused by Entamoeba histolytica that resulted in the patient having amebic dysentery
What questions might the nurse ask in an attempt to discover how the patient came in contact with the organism? (Select all that apply.) A) "Have you traveled outside the country recently?" B) "Have you been swimming in a lake or pond recently?" C) "Have you been eating fresh fruits or vegetables without washing them first?" D) "Have you been bitten by a mosquito?" E) "Have you had unprotected sex recently?"
On admission of a new primipara who has just given birth, the nurse notes that she had a prolonged second stage of labor and extended time in the stirrups on the delivery table. The nurse interprets this as placing the client at high risk for:
A) Retained placental fragments C) Thrombophlebitis B) Hypertension D) Postpartum involution
The family of a client who has tuberculosis keeps leaving the isolation room door open. They tell the nurse the client "feels closed in." The client is in a private room with monitored negative air pressure
Which of these actions should the nurse take immediately? a. Educate the client and the family as to why the door must remain closed. b. Notify the charge nurse and the client's physician. c. Post a "no visitors" sign and ask the family to leave. d. Spend more time with the client during the shift.
The client is ordered to receive a cardiac glycoside. Which vital signs finding would make the nurse question administering this medication?
1. Blood pressure 119/66 2. Apical pulse 55 beats per minute 3. Temperature 99.4°F 4. Respirations 12 breaths per minute