The nurse is assessing pain levels in a critically ill patient using the Behavioral Pain Scale. The nurse recognizes ________ as indicating the greatest level of pain
a. brow lowering
b. eyelid closing
c. grimacing
d. relaxed facial expression
C
The Behavioral Pain Scale issues the most points, indicating the greatest amount of pain, to assessment of facial grimacing.
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In caring for a child with a life-threatening illness, the nurse should anticipate the parent's reaction to the child illness. Which response should the nurse anticipate the parent will experience? Standard Text: Select all that apply
1. Anticipatory waiting 2. Post-traumatic stress disorder 3. Deprivation and loss 4. Anger and guilt 5. Readjustment and mourning
A client makes the following statement during a mental status assessment: "I can't use the phones; the CIA has bugged all the wires." Which of the following categories will the nurse use to document the client's response?
1. Orientation 2. Content of thought 3. Emotional state 4. General behavior
The nurse assesses a reactive result to a non-stress test when the fetal heart rate increases _____ beats per minute
Fill in the blank(s) with correct word
A nurse is obtaining a history on an older adult. Which finding will the nurse most typically find?
a. Lives in a nursing home b. Lives with a spouse c. Lives divorced d. Lives alone