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","C","E"]
Explanation
The manager observed the nurse performing actions that demonstrate critical thinking, including questioning a medication order that does not appear to meet the client's needs for pain management, exhibiting a willingness to try alternate methods of addressing a client's care needs, and listening to empathy to a client who has recently been diagnosed. These actions show that the nurse is able to think critically and make informed decisions based on the needs of the client.
Correct Answer is C
Explanation
Based on the comment made by the nurse manager during the staff meeting, this leader can be best identified as a laissez-faire leader. A laissez-faire leader is one who takes a hands-off approach to leadership and allows group members to make their own decisions and determine their own course of action. In this case, the nurse manager is allowing the staff to come to their own decision regarding staff assignments and is not actively directing or guiding the decision-making process.
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