The nurse wishes to assess the quality of a patient's pain. Which of the following questions is appropriate to obtain this assessment if the patient is able to give a verbal response?
a. "Is the pain constant or intermittent?"
b. "Is the pain sharp, dull, or crushing?"
c. "What makes the pain better? Worse?"
d. "When did the pain start?"
B
If the patient can describe the pain, the nurse can assess quality, such as sharp, dull, or crushing. The other responses relate to continuous or intermittent presence (A), what provides relief (C), and duration (D).
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A patient enters the emergency department with right-sided weakness and vision changes. What assessment finding should be communicated to the RN or physician immediately?
a. Blood pressure 148/92 mm Hg b. Onset of symptoms occurred 90 minutes ago c. Blood glucose 150 mg/dL d. History of transient ischemic attack (TIA) 3 months ago
Perinatal nurses are legally responsible for
a. Correctly interpreting FHR patterns, initiating appropriate nursing interventions, and documenting the outcomes b. Greeting the patient on arrival, assessing her, and starting an IV line c. Applying the external fetal monitor and notifying the care provider d. Making sure the woman is comfortable
Following an ultrasound which revealed decreased amniotic fluid, a woman at term is admitted in early labor. It should be recognized that oligohydramnios often results in fetal heart rate decelerations that are
A. Late in onset or occur after the peak of the contraction B. Synchronous with that of the contraction C. Varied in depth and duration
When planning care a nurse wants to use the goals of Healthy People 2010 because these goals:
A. aim to increase both quality and years of life by eliminating the nation's health disparities. B. increase the life expectancy of all Americans. C. reduce the percentage of communicable diseases in childhood. D. identify gaps among ethnic minorities in regard to health promotion and disease prevention.