A nurse is assessing a client who has a fever, an infection of a flank incision, and is in severe pain. Which type of pulse rate would the client most likely exhibit?
Bradycardia.
Bigeminal.
Dysrhythmia.
Tachycardia.
The Correct Answer is D
The client would most likely exhibit tachycardia, which is an abnormally fast heart rate. Fever and infection can both cause an increase in heart rate as the body tries to fight off the infection. Severe pain can also cause an increase in heart rate due to the body's stress response. Therefore, it is likely that the client would have a fast pulse rate, or tachycardia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
When providing education to a postoperative client on how to use an incentive spirometer, an accurate step that should be included in the education plan is to instruct the client to inhale slowly and as deeply as possible through the mouthpiece without using the nose ¹⁴. This helps the client to take deep breaths and fully expand their lungs. The other options (Instruct the client to inhale normally and then place the lips securely around the mouthpiece, Encourage the client to perform incentive spirometry 2 to 3 times every 1 to 2 hours, if possible, and When the client cannot inhale anymore, the client should hold his breath and count to 10) are not accurate steps that should be included in the education plan.

Correct Answer is A
Explanation
The nurse should document the client's condition as anorexia. Anorexia refers to the loss of appetite or desire to eat. In this case, the client is reporting a loss of appetite following a prolonged illness, which would be accurately described as anorexia.
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