Question

a) Stress can cause a B ILL b) Body temperature increases just before ovulatsil. e) Body temperature increases when the client has an infection. d) Body temperature is usually higher in the afternoon than in the morning e) Body temperature may be lower than the true temperature iſ the temperature in the client's room is cool 21. The nurse is caring for a client who has undergone surgery. The client is anxious and complains of incision pain. The nurse conduets a pain assessment, checks the elient's vital signs, and notes that the client's blood pressure and pulse rate have increased. On the basis of these findings, which action by the nurse is most appropriate? a) Contacting the health care provider b) Preparing to administer pain medication c) Checking for signs of postoperative hemorrhage d) Consulting with the health care provider about administering an antianxiety medication 22. The nurse asks a colleague to assist in counting a client's pulse to determine whether the client with a dysrhythmia has a pulse deficit. The nurse's colleague counts the client's apical heart rate while the nurse counts the client's radial rate. The nurse's colleague reports an apical heart rate of 90 beats/min, and the nurse obtains a radial rate of 76 beats/min. Which nursing action is most appropriate? a) Reassessing the client for a pulse deficit in 15 minutes b) Documenting that the client has a pulse deficit of 14 beats c) Asking another colleague to count the apical rate to verify the findings d) Asking the client to ambulate and then reassess the apical and radial rates 23. The nurse is preparing to monitor a client's oxygen saturation with the use of pulse oximetry. The nurse reads the client's health care record and notes a history of peripheral vascular disease. In light of this information, which part of the body should the nurse select for attachment of the sensor probe? a) Toe b) Ear c) Sole d) Finger de tod o

Answer 1

Ans:- 21,

D ( consulting with the health care provider about the administering an anti anxiety medication) because the client is anxious and his vitals are already showing blood pressure and pulse is increased those are the signs of anxiety.

22.

B, ( documenting that the client has a pulse deficit of 14beats) because client is already suffering from dysrhythmia and she only wants to check the pulse deficit.

23,

B, ear,

Nurse will attach the sensor probe on ear because client is suffering from peripheral vascular disease and in peripheral vascular disease narrowed blood vessels reduce blood flow to the limbs, so findings will be false.