The vital signs are affected by acute pain. Increased respiration, blood pressure and heart rate can be seen when a person experiencing pain. The nurse anticipates an increased pulse rate when assessing a client who reported acute pain.
the nursing is assesing a client who reports acute pain what should the nurse anticipate? A....
27. A nurse is caring for a client who has acute heart failure and is receiving furosemide via IV bolus. The nurse should identify that which of the following findings indicates a desired therapeutic effect? Increased sputum production Decreased weight Decreased blood glucose level Increased blood pressure 54. A nurse is assessing a client who receives monthly injections of cyanocobalamin. Which of the following findings indicates a therapeutic effect of the medication? Absence of hand tremors Hematocrit 45% Potassium 3.8...
26. The client is experiencing acute pain. The nurse is applying the nursing process. What is the proper order of events? (Choose one) a. Determine client preferences, administer medication and guided imagery, ask the client if they still have pain. b. Determine client allergies, implement a hand massage, and evaluate the pain on 0-10 scale c. Determine baseline pain, determine appropriate interventions, implement relaxation techniques d. Determine baseline pain, determine appropriate interventions, administer medication and a back massage, evaluate pain...
A nurse in an emergency department is assessing a client who reports right lower quadrant pain, nausea, and vomiting for the past 48 hr. Which of the following actions should the nurse take first? Auscultate bowel sounds. Palpate the abdomen offer pain medication. Administer an antiemetic.
4. A nurse is caring for a client who has acute pancreatitis. Which of the following interventions should the nurse include in the client’s plan of care? (Select all that apply) A. Initiate insulin drip. B. Monitor blood glucose levels. C. Continue regular diet as tolerated. D. Maintain NPO status until pain free. E. Manage acute pain.,
informs the nurse that pain medica A nurse is caring for a client who reports a pain level of 5 on a scale from O to 10. The c for managing pain. Which of the following is an appropriate response by the nurse? lient tions are not an option O "Would you like me to give you a back massage?" O "I'm sure it will work if you just give it a chance." O "You may take any herbal remedies...
a nurse in an emergency department is assessing a client who reports right lower quadrant pain, nausea, and vomiting for the past 48 he which of the following actions should the nurse take first
A nurse is caring for a client who reports a new onset of Chest Pressure severe epigastric distress. The physician prescribes monitoring of Creatine kinase Cck) iSomaymes. When should the nurse anticipate the ck I Soenzymes will begin to rise if the client has had a myocardial infraction (mi) select all that Ihr ② 3hr ® 24hr. apply a ② 2hr
The nurse is caring for a client with acute kidney injury who has a serum potassium level of 5.5 mmol/L. The nurse administers sodium polystyrene sulfonate to the client. What is the rationale behind this nursing action?
1. A nurse is caring for a client who is intubated and receiving mechanical ventilation. Which of the following findings should indicate to the nurse that the client's airway requires suctioning? a. Pulse ox saturation of 94% b. Rhonchi noted upon auscultation c. decreased peak airway inspiratory pressure d. low pressure alarm sounding on the ventilator 2. The nurse is teaching a client about PICC line. Which of the following statements by the nurse is correct? a. The procedure will...
42. A nurse is assessing a client who has meningitis. The nurse should identify which of the following findings as a positive Kernig’s sign? A. After stroking the lateral area of his foot, the client’s toes contract and draw together. B. After hip flexion, the client is unable to extend his leg completely without pain. C. The client’s voluntary movement is not coordinated. D. The client reports pain and stiffness when flexing his neck.