A client is suffering from osteoarthritis in the knees and the nurse is providing care. The nurse is assessing the client's pain level and pain tolerance. Based on the nurse's understanding of pain, the nurse knows that a client's pain tolerance is most likely relieved by which of the following?

Anger

Sleep

Boredom

Introversion

Answer and Explanation

The Correct Answer is B

Pain tolerance refers to the maximum level of pain that an individual can tolerate without significant distress. It is influenced by various factors, including psychological and emotional factors. While emotions such as anger, boredom, and introversion can have an impact on a person's pain perception and experience, sleep plays a significant role in pain tolerance. During sleep, the body is in a state of rest and relaxation, allowing for decreased sensory input and potentially reducing pain perception. Sleep provides an opportunity for the body to repair and heal, which can contribute to improved pain tolerance. Additionally, sleep promotes the release of endogenous opioids, which are natural pain-relieving substances produced by the body.

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Correct Answer is B

Explanation

An increased serum potassium level, also known as hyperkalemia, can have adverse effects on the electrical conduction of the heart, potentially leading to life-threatening cardiac dysrhythmias. Therefore, it is crucial to assess the patient's pulse rate and rhythm promptly to identify any abnormal cardiac activity.

Assessing the oxygen saturation (oxygen stats), respiratory rate and depth, and deep tendon reflexes are also important assessments, but they are not the priority in this case. Hyperkalemia primarily affects cardiac function, and prompt identification of any potential cardiac rhythm disturbances is essential to prevent further harm.

A. Bleeding posterior to the nasal packing. B. Oral dryness caused by nasal packing. C. An adverse reaction to the analgesic. D. A normal response to the analgesic and surgery.

Correct Answer is B

Explanation

After rhinoplasty, nasal packing is often used to control bleeding and provide support to the nasal structures. Nasal packing can cause oral dryness, as it obstructs the normal airflow through the nasal passages, leading to mouth breathing. Mouth breathing, in turn, can cause dryness of the oral mucosa and throat, resulting in the sensation of dryness and the need to swallow frequently.

While bleeding is a possible complication after rhinoplasty, the patient's symptom of frequent swallowing is more indicative of oral dryness rather than bleeding.

Although adverse reactions to analgesics can occur, frequent swallowing is not a common symptom associated with analgesic adverse reactions. Other signs such as rash, difficulty breathing, or changes in vital signs would be more typical in case of an adverse reaction. Swallowing can be a normal response to surgery, but in this scenario, the most likely cause is the oral dryness caused by the nasal packing rather than a direct response to the analgesic.

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A client is suffering from osteoarthritis in the knees and the nurse is providing care. The nurse is assessing the client's pain level and pain tolerance. Based on the nurse's understanding of pain, the nurse knows that a client's pain tolerance is most likely relieved by which of the following?

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Naxlex Comprehensive Predictor Exams

In reviewing the electrolytes of a patient, the nurse notes the serum potassium level has increased from 4.3 mEq/L to 5.9 mEq/L. Which assessment does the nurse initiate first to prevent further harm?

Correct Answer is B

Explanation

A patient, age 23, underwent a rhinoplasty 6 hours ago. After administering his pain medication, the nurse notes that he is swallowing frequently. What is the most likely cause of the swallowing?

Correct Answer is B

Explanation

A client with systemic lupus erythematosus (SLE) is receiving nonsteroidal anti- inflammatory drug (NSAID) therapy. Which side effect of NSAID therapy should the nurse immediately report to the health care provider?

The nurse is planning to teach the patient with gastroesophageal reflux disease (GERD) about foods or beverages that decrease lower esophageal sphincter (LES) pressure. What should be included in this list (select all that apply)?

A client is suffering from osteoarthritis in the knees and the nurse is providing care. The nurse is assessing the client's pain level and pain tolerance. Based on the nurse's understanding of pain, the nurse knows that a client's pain tolerance is most likely relieved by which of the following?

Your patient is ordered a loop diuretic at 1000. Which finding below would require you to hold the dose and notify the physician for further orders?

A nursing instructor is teaching a group of nursing students about antihistamines. Which statement by a student indicates an understanding of the mechanism of action of the antihistamines?

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What signs and symptoms are associated with a hypersensitivity reaction that can present with a Cephalosporin?

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