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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. This statement reflects a sense of blame and responsibility but may not necessarily indicate a body image disturbance.A. Listening to music is a form of distraction, diverting the client's attention away from pain.
B. Biofeedback involves using electronic monitoring to help individuals gain conscious control over physiological processes, not applicable in this context.
C. Guided imagery involves using the imagination to create calming mental images, not directly related to listening to music.
D. Meditation involves a state of focused attention and may not be as directly applicable during a medical procedure.
B. This statement may indicate frustration with physical therapy progress but does not directly address body image.
C. This statement reflects guilt or self-blame but may not necessarily indicate a body image disturbance.
D. This statement directly addresses the client's perception of their body image following the amputation.

A. Surgical sites B. Urinary catheters C. Peripheral IVS D. Central lines E. Chest tubes

Correct Answer is D

Explanation

A. Surgical site infections are not specifically included in the HACRP but are significant in HAI prevention.
B. Catheter-associated urinary tract infections (CAUTIs) are not explicitly included in the HACRP but are important in HAI prevention.
C. Peripheral IV-related infections are not specifically included in the HACRP.
D. Central line-associated bloodstream infections (CLABSIs) are specifically targeted by the HACRP.
E. Infections related to chest tubes are not specifically included in the HACRP.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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