Nokea
Which assessment is NOT a nonverbal sing of pain?
- A. Decreased attention span
- B. Grimacing
- C. Increase in heart rate
- D. Reported pain of 5/10
Correct Answer: D
Rationale:
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The nurse is performing a psychosocial assessment on a client with a severe
rheumatoid arthritis. What would be the most appropriate statement by the
nurse?
- A. "Tell me about what medication you are taking"?
- B. "What physical limitations are you experiencing?"?
- C. "How does this impact your role in your family?"?
- D. "What therapies are you using to reduce swelling?"?
Correct Answer: C
Rationale:
Which of the following nonpharmacological methods cannot be used to manage the
chronic pain of a client with rheumatoid arthritis?
- A. Adequate rest
- B. Heat for 20-30 minutes
- C. Hot showers
- D. Ice for 2 hours at a time
Correct Answer: D
Rationale:
The nurse has documented the following wound assessment. "Shallow, open,
reddened ulcer with no slough on the anterior region of the right heel?"? what
stage is the wound?
- A. Stage 3
- B. Stage 4
- C. Stage 1
- D. Stage 2
Correct Answer: D
Rationale:
The nurse is caring for 4 clients. Which of these clients will the nurse see
first?
- A. A client with sudden and increasing pain in his fractured arm
- B. A client being discharged in 2 hours and needs to be taught how to use his
crutches - C. A client with RA and a scheduled pain medication
- D. A client with a fractured ankle who would like a glass of water
Correct Answer: A
Rationale:
The nurse is most concerned about which of these findings in a client with
systemic lupus erythematous?
- A. The client reports chronic fatigue
- B. The client has a butterfly rash
- C. Blood pressure of 126/85 mm Hg
- D. Urine output of 20 mL/hour
Correct Answer: D
Rationale: