A patient is laughing and talking with visitors. When you enter the room, she informs you that she is having severe pain. You will
A) do nothing, as you suspect she is just trying to get attention.
B) ask the visitors to leave so the patient can rest.
C) promptly inform the nurse of the patient's complaint.
D) ask the patient personal questions about the pain.
C
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For the client receiving coronary vasodilators for angina pectoris, the nurse would identify which of the following in making a nursing diagnosis
a. Ineffective cardiac tissue perfusion related to decreased oxygen to tissues b. Deficient knowledge related to medication administration c. Risk for injury of falls related to postural hypertension d. Acute pain related to medication-induced headache
The nurse should teach the client receiving long-term estrogen therapy to:
a. eliminate fruit from her diet. b. decrease her daily water intake. c. have her blood pressure checked periodically. d. discontinue estrogen if fluid retention occurs.
A 49-year-old client comes to the clinic with complaints of severe perimenopausal symptoms including hot flashes, night sweats, urinary urgency, and vaginal dryness
The physician has prescribed a combination hormone replacement therapy of estrogen and progestin. When the client asks the nurse why she must take both hormones, the best reply is: A. "Hot flashes respond better when replacement includes both hormones." B. "You are having very severe symptoms, so you need more hormones replaced." C. "There is an increased risk of tissue abnormality inside the uterus if only one is given." D. "Your blood pressure may become elevated if only one hormone is used."
A client with borderline personality disorder who has transient psychotic episodes involving auditory hallucinations is being discharged to home
Which of the following instructions by the nurse is appropriate for helping the client deal with these episodes? A) "Call the clinic and ask to speak to someone." B) "Take additional doses of medication until the voices subside." C) Tell yourself, "I'm not really hearing anything." D) "Try to sit quietly until the voices subside."