A client requests pain medication as a result of incisional pain following a Cesarean section. The client's pain level is five on a ten-point scale with 10 being the worst pain the client has ever had
Thirty minutes after receiving the pain medication, the client states her pain is a two on the ten-point scale. What is the nursing process step that is described above?
A) Diagnosis
B) Evaluation
C) Planning
D) Implementation
B
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A patient with the diagnosis of schizophrenia, disorganized type, approaches the nurse and says, "It's beat, it's eat. No room for doom.". The nurse can correctly assess this verbalization as:
a. neologisms. b. clanging. c. ideas of reference. d. associative looseness.
The nurse is reviewing lab results for a patient with hypoxemi
a. The nurse is aware that which of the following results may worsen the patient's hypoxemia? (Select all that apply.) a. Low sodium levels b. Low hemoglobin levels c. Increased blood pH d. Decreased blood pH
A patient's spouse filed charges of battery. The patient says, "I'm sorry for what I did. I need psychiatric help." The patient has a long history of acting-out behaviors and several arrests
Which statement by the patient suggests an antisocial personality disorder? a. "I have a quick temper, but I can usually keep it under control." b. "I've done some stupid things in my life, but I've learned a lesson." c. "I'm feeling terrible about the way my behavior has hurt my family." d. "I hit because I'm tired of being nagged. My spouse deserves the beating."
A client recovering from acute illness has just received a tub bath. When documenting the bath, the nurse should include:
1. Client's ability to maintain a conversation during the procedure 2. The client's tolerance of the procedure 3. Condition and integrity of the skin 4. Client strength 5. Percentage of bath done without assistance