Study sets, textbooks, questions
Upgrade to remove ads
Final exam #4 Pain and Acid base
Terms in this set (25)
Which client would be classified as having chronic pain?
a client with rheumatoid arthritis
A middle-age client tells the nurse that the client's neck pain reduced considerably after the client underwent a treatment in which thin needles were inserted into the skin. What kind of pain relief treatment did the client undergo?
A client who had a recent amputation below the knee tells the nurse about feeling as though the toes are cramping in the missing leg. Which statement will the nurse use to educate the client?
"That is called phantom pain and it is not unusual."
The nurse is monitoring a blood transfusion for a client with anemia. Five minutes after the transfusion begins, the client reports feeling short of breath and itchy. Which action should the nurse take?
Stop the transfusion and notify the health care provider.
A nurse is assessing the vital signs of a client who is moaning with pain. Which vital sign assessment warrants reporting to the health care provider?
Blood pressure of 165/93 mm Hg
A nurse is caring for an older adult client who was admitted for dehydration. Which instruction will the nurse give to the client's adult child to prevent this situation from happening again to the client?
"Encourage your parent to drink fluids throughout the day."
A physician orders a placebo for a client. What is a placebo?
an inactive substance given in place of a drug
Accurate fluid volume assessment has been ordered for a client who has been acutely ill since the time of admission to the hospital. The nurse can best monitor this client's fluid balance by:
accurately measuring and recording the client's intake and output.
A postsurgical client and family have differing opinions about the level of pain that the client is experiencing. Which is the best way to educate the client and family about pain and pain relief?
Discuss with the family that the client is the best person to describe its level.
Who is the authority on the presence and extent of pain experienced by a client?
The nurse calculates the client's intake and output for the shift (above). Calculate the client's fluid balance, in milliliters, for the 8-hour shift. Record your answer using a whole number.
Which client is at a greater risk for fluid volume deficit related to the loss of total body fluid and extracellular fluid?
an infant age 4 months
A client admitted with heart failure requires careful monitoring of his fluid status. Which method will provide the nurse with the best indication of the client's fluid status?
A nurse monitoring the intake and output of fluids for a client with severe diarrhea knows that normally how much body fluid is lost via the gastrointestinal tract?
A client has a prescription to restrict fluids. What is one comfort measure nurses can implement for this client to alleviate a common problem?
Cross-matching of blood is ordered for a client before major surgery. What does this process do?
determines compatibility between blood specimens
A client asks a nurse if it is possible to contract a disease by donating blood. How would the nurse respond?
"There is no way you can contract a disease by giving blood."
A nurse is teaching a client about total parenteral nutrition. What should the nurse teach the client regarding the substances within total parenteral nutrition? Select all that apply.
Assessment of a client reveals the following findings: elevated body temperature, dry skin, low urinary output, and increased pulse rate. Which action should the nurse take?
Encourage the intake of salty liquids like broth and tomato juice.
Which principle in pain management is the point beyond which a person is no longer willing to endure pain?
A nurse is caring for a middle-aged client with acute abdominal pain at a health care facility. The physician has asked the nurse to administer a prescribed dosage of opioids to the client to relieve the pain. The client has a throat infection and is unable to take the medication orally. What other delivery route might the physician prescribe?
The nurse is caring for a client with severe edema who has crackles in the lungs. Which nursing intervention is the priority for this client?
administer furosemide as ordered
The nurse is assessing a client who was hospitalized due to a fall with a brief loss of consciousness. Which sign(s) alerts the nurse that the client is severely dehydrated? Select all that apply.
The client has dark-colored urine with a noticeable odor.
The client reports dizziness when standing up from a chair.
The client has been working outside in warm temperatures.
During a blood transfusion of a client, the nurse observes the appearance of rash and flushing in the client, although the vital signs are stable. Which intervention should the nurse perform for this client first?
Stop the transfusion immediately.
The client had orthopedic surgery 2 days ago. Physical therapy is scheduled in 1 hour. During the nurse's rounds, the client reports postoperative pain as mild and denies needing the prescribed oral pain medication. Which nursing action will best aid in mobilizing the client?
Encourage the client to take a dose of the pain medication now.
Other sets by this creator
Final Exam Exam #3
Final Exam Ethics Health Test #2
Final Exam Semester Test #1
Other Quizlet sets
Exam 1: Jean Watson's Theory of Caring: Science of…