When assessing a patient, the nurse recognizes that pain is:
a. objective for the nurse.
b. easy to recognize.
c. subjective for the patient.
d. easily relieved if found early.
C
Pain is subjective. Pain is exactly what the patient says it is.
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A newborn is diagnosed with the salt-losing form of congenital adrenogenital hyperplasia. On what should the nurse focus when assessing this patient?
A) Dehydration B) Hypoglycemia C) Bleeding tendency D) Excessive cortisone secretion
Which maternal condition should be considered a contraindication for the application of internal monitoring devices?
a. Unruptured membranes b. Cervix dilated to 4 cm c. Fetus has known heart defect d. External monitors currently being used
What is the priority intervention for the client having Kussmaul respirations as a result of diabetic ketoacidosis?
A. Administration of oxygen by mask or nasal cannula B. Intravenous administration of 10% glucose C. Implementation of seizure precautions D. Administration of intravenous insulin
While positioning the patient for a routine blood pressure check, the patient asks the nurse why a support was placed under the arm before the BP cuff was applied. Which response by the nurse is most accurate?
a. "This method prevents any problems in obtaining an accurate reading.". b. "This method helps the arm relax so the reading will be correct.". c. "I want you to be as comfortable as possi-ble during this time.". d. "Just sit back and relax and let me get this reading right now.".