A nurse is collecting data on 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?
Decreased respiratory rate
Hypoglycemia
Hypertension
Bradycardia
The Correct Answer is C
A. Acute pain is more likely to increase respiratory rate, not decrease it.
B. Acute pain does not typically cause hypoglycemia.
C. Acute pain is often associated with an increase in blood pressure (hypertension).
D. Acute pain tends to increase heart rate (tachycardia), not decrease it.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Before looking for evidence, the nurse should formulate a specific clinical question related to CAUTIs.
B. Implementation should follow the evidence-based recommendations, but formulating a clear question is the initial step.
C. Asking a clinical question is the first step in the EBP process, as it helps guide the search for relevant evidence.
D. Reviewing information comes after formulating a question and searching for evidence to answer that question.
Correct Answer is D
Explanation
A. The first-line treatment for anaphylactic shock is epinephrine, as it rapidly reverses the severe manifestations of an allergic reaction.
B. Albuterol is a bronchodilator and may help with respiratory symptoms but is not the first-line treatment for anaphylaxis.
C. Steroids like hydrocortisone may be used in conjunction with epinephrine but are not the immediate first choice.
D. Diphenhydramine may be used to manage symptoms but is not as rapidly effective as epinephrine.
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