A nurse is assessing a client who reports acute pain at a level of 7 on a scale of 0 to 10. Which of the following findings should the nurse expect?

Hypertension

Bradycardia

Decreased respiratory rate

Hypoglycaemia

Answer and Explanation

The Correct Answer is A

Pain can cause an increase in sympathetic nervous system activity, leading to vasoconstriction and increased heart rate, which can result in hypertension. Pain may also increase the release of stress hormones, such as cortisol and epinephrine, which can further contribute to increased blood pressure.

Bradycardia (slow heart rate) decreased respiratory rate, and hypoglycemia are not typical findings associated with acute pain.

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Correct Answer is C

Explanation

When using an alcohol-based hand sanitizer, the nurse should apply the product to the palm of one hand and rub hands together, covering all surfaces of hands and fingers until hands are dry.

A. Opens the first ﬂap of the sterile package towards the nurse’s body. B. Prepares the sterile field 2 hours before it is needed. C. Inspects the sterile package for holes before opening. D. Places the sterile field against a wall in the client’s room.

Correct Answer is C

Explanation

When setting up a sterile field, it is important to inspect the sterile package for holes before opening it to ensure that the contents are still sterile1. The first ﬂap of the package should be opened away from the body

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A nurse is assessing a client who reports acute pain at a level of 7 on a scale of 0 to 10. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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