A patient admitted with liver disease complains of pain in his right shoulder. Which of the following explanations for this is most likely to be true?
a. The patient hurt his shoulder.
b. The patient is experiencing referred pain.
c. The patient is pretending to have more pain to obtain more analgesics.
d. The patient is tense because of concern about the possible diagnosis.
ANS: B
Nociceptive pain in the visceral organs may be referred to other parts of the body. A, C, and D are possible but not most likely.
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A nurse is assessing a patient before developing a teaching plan. What questions or statements will best obtain data on this patient related to health literacy? (Select all that apply.)
a. Have you missed appointments because you misunderstood the instructions? b. How well are you able to read? c. How would you look for information on your diagnosis? d. Tell me how you compare two similar products. e. What would make you go to the emergency department?
A pregnant client is in the clinic for a routine monthly check and asks the nurse whether there is a blood test that can be drawn to check for genital warts. The best response by the nurse is:
1. "Yes, I will ask the doctor to draw the blood." 2. "No, but we can culture your vagina." 3. "There are several types of laboratory tests, but you need to speak to the physician." 4. "Genital warts are detected by inspection or by culturing the cervix for HPV."
The newly admitted patient is describing his recent symptoms to the nurse. The nurse is aware that the source of this information is considered:
a. primary. b. objective. c. secondary. d. complete.
Which of the following is the most common complication after high-dose barbiturate therapy?
a. Hypothermia b. Hypotension c. Myocardial depression d. Decreased CVP