When should the nurse assess pain?
a. Whenever a full set of vital signs is taken
b. During the admission interview
c. Every 4 hours for the first 2 days after surgery
d. Only when the patient reports pain
ANS: A
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A teenage girl is diagnosed with systemic lupus erythematosus (SLE). Which health promotion guidance is important for the nurse to provide?
A. "Acetaminophen (Tylenol) is best for daily pain." B. "Consider adding vitamin D to your daily routine." C. "Plan to choose a career that is sedentary." D. "You should consider elective sterilization."
The nurse knows that which of the following skills does not require the use of sterile technique?
a. NG tube insertion b. Foley catheterization c. Tracheostomy care d. PICC line insertion
For which complication does the nurse remain alert when a patient is taking any type of diuretic?
a. Loss of appetite b. Bladder spasms c. Hypertension d. Dehydration
Which of the following statements is true of diabetes insipidus (DI)?
A. Treatment of hypothalamic DI mainly involves replacement therapy with endogenic vasopressin. B. Central DI is caused by a resistance to ADH in the kidney. C. Diabetes insipidus is not related to the other hormone deficiency condition, diabetes mellitus. D. Nephrogenic DI is caused by a decreased secretion of ADH.