During the intake interview, the nurse notices that, although the patient denies pain, he is grimacing and holding his hand over his stomach. The nurse's best approach would be to:
a. examine the history closely for etiology of pain.
b. question the patient about having feelings of pain.
c. record that patient denies pain but seems to be having abdominal discomfort.
d. physically examine the patient's abdomen.
B
The nurse should try to resolve any incongruence between body language and verbal responses.
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While a patient with SIADH is receiving hypertonic saline, the nurse assesses for signs that the saline must be stopped. These signs would include
a. decreased CVP and decreased PAP. c. hypotension and wheezing. b. bradycardia and thirst. d. hypertension and lung crackles.
A 24-year-old man scheduled for brain surgery in the morning constantly listens to music with his headphones on. What should a nurse recognize this behavior as?
a. Conversion reaction b. Conscious coping strategy c. Defense mechanism of undoing d. Reaction formation
The nurse is preparing to administer an initial dose of a COX-1 inhibitor and obtains a brief health history. Based on an understanding of the therapeutic effects of this drug, the nurse would anticipate the patient to have which medical diagnosis?
a. Ulcerative colitis b. Asthma c. Arthritis d. Polycythemia
The LPN/LVN should have some understanding about fluid and electrolyte balance. What is a good rule to remember about this concept?
1. Sodium follows potassium, water remains in the cell. 2. Potassium leaves the cell, water remains in the cell. 3. Water remains with potassium in the cell while sodium leaves. 4. Water tends to follow sodium out of the cell.