A client has not received any medication during her labor. She is having frequent contractions and has become irritable with her coach and no longer will allow the nurse to palpate her fundus during contractions
The nurses interprets these findings as indicating: A) early phase of the first stage of labor
B) active phase of the first stage of labor
C) transitional phase of the first stage of labor
D) beginning phase of the second stage of labor
C
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The nurse is reviewing concepts of cultural aspects of pain. Which statement is true regarding pain?
a. All patients will behave the same way when in pain. b. Just as patients vary in their perceptions of pain, so will they vary in their expressions of pain. c. Cultural norms have very little to do with pain tolerance, because pain tolerance is always biologically determined. d. A patient's expression of pain is largely dependent on the amount of tissue injury associated with the pain.
Which of the following patients demonstrates the clearest indication for treatment with prednisone?
A) A 66-year-old woman whose history of smoking has culminated in a diagnosis of emphysema B) A 70-year-old man whose rheumatoid arthritis has not responded to OTC pain relievers C) A 12-year-old boy whose long-standing fatigue and malaise have been attributed to leukemia D) A 50-year-old woman who is being treated for hypertension with a diuretic and an ACE inhibitor
The nurse is assessing a 76-year-old man in a nursing home with a diagnosis of UTI. The nurse notes that the patient is complaining of right flank pain. To assess for tenderness, the nurse should gently do which of the following?
a. Auscultate the costovertebral angle. b. Palpate the tenth intercostal space. c. Percuss the costovertebral angle. d. Palpate the area above the ischial spine.
The nurse is preparing to administer an IM injection to her elderly client
The nurse places the palm of her hand on the greater trochanter, points her index finger toward the anterior superior iliac spine and middle finger toward the iliac crest to locate which IM site? a. dorsogluteal c. deltoid b. ventrogluteal d. vastus lateralis