Which statement explains why the nurse should assess each patient's pain response individually in every situation?
1. Everyone has a unique tolerance to pain.
2. Everyone has the same pain threshold.
3. Everyone perceives painful stimuli at the same intensity.
4. Most people have the same pain response to surgery.
1
Rationale 1: Each person's pain tolerance is different and should be assessed on an individual basis.
Rationale 2: Everyone does not have the same pain threshold.
Rationale 3: Everyone perceives pain at a different intensity.
Rationale 4: Different people have a different pain response, even to the same surgery.
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A client who has had persistent vomiting for four days has been admitted to the unit. The nurse determines that the best position for this client is which of the following?
1. Right Sims position 2. Left side lying position 3. Semi-Fowler's position 4. Prone position
Both angiotensin converting enzyme inhibitors and some angiotensin II receptor blockers have been approved in treating:
1. Hypertension in diabetic patients 2. Diabetic nephropathy 3. Both 1 and 2 4. Neither 1 nor 2
A 13-year-old female reports to the school nurse with concerns about her menstrual cycle. The client states that she has not yet started her period, and asks if this is normal
Which of the following should be included in the nurse's response? 1. The client should be referred to a gynecologist for a pelvic examination. 2. The client should have started her period by now. 3. It is not abnormal for the client to have not yet started her period. 4. The client should be tested for hormonal imbalances.
A client has been diagnosed with closed-angle glaucoma. Which findings would the nurse interpret as indicating that the pharmacologic treatment regimen has been successful?
1. The client reports being hungry. 2. The client's last two intraocular pressure readings have been 19 mmHg and 18 mmHg. 3. The client's eye is not as bloodshot. 4. The client reports a sensation of drainage down the nose. 5. The client's cough has diminished.