A client is admitted to the rehabilitation facility 4 months after experiencing a severe motor vehicle accident. The nurse would expect to see the following signs of chronic pain: Standard Text: Select all that apply
1. The client reports pain.
2. Vital signs are normal.
3. The client appears restless.
4. The client appears depressed.
5. The client's wounds are open.
2,4
Rationale: Client reporting of pain is usually found in acute pain.
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When auscultating the chest, a nurse hears crackles in both lower lobes. To further assess this finding, the nurse should ask the patient to ______________
ANS:
Which of the following is an example of acculturation in a young Hispanic Cuban man?
a. He adopts the Protestant religion of his fiancée. b. He believes in a balance of body, mind, and spirit. c. He maintains the language of his country of origin. d. He supports the use of folk medicine for wellness.
The nurse caring for a patient with a pressure ulcer notes the wound is increasing in redness and has more swelling around the wound edges. Which of the following should the nurse do?
1. dress the wound as prescribed 2. cover the wound with a sterile dry dressing 3. assess for pain and warmth 4. encourage the patient to ingest more fluids
The nurse is planning teaching for a client that focuses on Healthy People 2020 objectives for cardiovascular health. Which modifiable risk factors should the nurse include in this teaching?
1. Age 2. Gender 3. Obesity 4. Smoking 5. Hypertension