The nurse is admitting a client to the floor with a diagnosis of migraine headache. The client relates she has had this type of headache for 12 years
On admission, the client states the headaches are coming more frequently, which has forced her to quit her job. What type of pain is this client experiencing?
1. Surgical pain
2. Chronic pain
3. Neuropathic pain
4. Acute pain
Correct Answer: 2
Rationale 1: Surgical pain is incorrect because chronic pain lasts for longer than 6 months.
Rationale 2: Chronic pain lasts for longer than 6 months.
Rationale 3: Neuropathic pain is incorrect because chronic pain lasts for longer than 6 months.
Rationale 4: Acute pain is incorrect because chronic pain lasts for longer than 6 months.
Global Rationale: Chronic pain lasts for longer than 6 months. Surgical pain is incorrect because chronic pain lasts for longer than 6 months. Neuropathic pain is incorrect because chronic pain lasts for longer than 6 months. Acute pain is incorrect because chronic pain lasts for longer than 6 months.
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ANS:
A nursing assessment on a patient experiencing myofascial pain is most likely to reveal:
A) a feeling of pins and needles. B) constant pain. C) pain aggravated by cold. D) taut muscle band.
A patient with multisystem trauma has been in the ICU for 6 days after sustaining a closed head injury, a right-sided pneumothorax, right rib fractures, a grade IV liver laceration, a pancreatic contusion, and a right acetabular fracture
The patient is still intubated and mechanically ventilated and has a chest tube, Foley catheter, and two abdominal drains. The patient's hemodynamic assessment reveals the following values: BP, 94/66 mm Hg; HR, 118 beats/min; T, 38.7Â ° C; CVP, 5 cm H2O; wedge pressure, 6 mm Hg; cardiac index, 6.1; and systemic vascular resistance, 450 dynes/sec. What is the most likely cause of this hemodynamic picture? a. Septic shock b. Hemorrhagic shock c. Cardiogenic shock d. Neurogenic shock
The client is a 69-year-old woman with uncontrolled diabetes, polyuria, and a blood pressure of 86/46. Which staff member is assigned to care for her?
A. LPN/LVN who has floated from the hospital's long-term care unit B. LPN/LVN who frequently administers medications to multiple clients C. RN who has floated from the intensive care unit D. RN who usually works as a diabetic educator