A nurse is assessing a patient who complains of "awful" abdominal pain and rates it as a 9 on a scale of 0 to 10. Which of the following physiologic signs may accompany acute pain? Select all that apply
a. Tachycardia
b. Irritability
c. Increased blood pressure
d. Depression
e. Insomnia
f. Sweating
ANS: A, C, F
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The nurse is conducting a home care visit of an 82-year-old patient. The client's vital signs include a blood pressure of 150/100 mm Hg
In reviewing the medication administration, the client reports that she takes the blood pressure medicine only when she feels tense and feels that the blood pressure is elevated. The nurse would instruct the patient to A) continue to administer the blood pressure medication as needed. B) contact the physician for an increase in blood pressure medication. C) have the client take the blood pressure medication twice the prescribed dosage for 1 day then resume the daily schedule. D) instruct the client to take the blood pressure medication as prescribed regardless of feeling tense.
A client is in the emergency department after a motor vehicle crash, and the nurse notices a "steering wheel mark" across the client's chest. Which action by the nurse is most appropriate?
a. Ask the client where in the car he or she was during the crash. b. Assess the client by gently palpating the abdomen for tenderness. c. Notify the laboratory to come draw blood for blood type and crossmatch. d. Place the client on the stretcher in reverse Trendelenburg position.
Which of the following is the primary function of the respiratory system?
a. facilitate gas exchange c. clean the blood b. get rid of carbon dioxide d. circulate oxygen
Occupational health nursing is classified as
A) Community-based healthcare B) Institutional healthcare C) Residential healthcare D) Tertiary healthcare