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. Swelling and tenderness around the wound are common signs of infection, indicating an inflammatory response to the presence of bacteria.
B. Brown crusting over the wound may suggest the presence of a scab or dried exudate, which is a normal part of the healing process and not necessarily indicative of infection.
C. Serosanguineous drainage is a type of wound drainage that is typically not a sign of infection but rather a mix of clear and blood-tinged fluid.
D. Urticaria and itching around the wound suggest an allergic reaction rather than a wound infection.

A. Escherichia coli B. Staphylococcus aureus C. Pseudomonas aeruginosa D. Streptococcus B

Correct Answer is B

Explanation

A. While E. coli is a common cause of urinary tract infections and other gastrointestinal infections, it is not a typical pathogen associated with osteomyelitis.
B. This bacterium is the most common cause of acute osteomyelitis, especially the methicillin-resistant Staphylococcus aureus (MRSA) strain.
C. Pseudomonas is more commonly associated with infections in immunocompromised individuals or those with chronic diseases, but it is not a typical cause of acute osteomyelitis.
D. Group B Streptococcus is not a common cause of acute osteomyelitis.
Staphylococcus aureus, including MRSA, is more frequently implicated in bone infections.

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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

A nurse is collecting data from four clients who have wounds. The nurse should recognize that which of the following clients has a manifestation of a wound infection?

Correct Answer is A

Explanation

A nurse is caring for a client who has acute osteomyelitis. The client asks the nurse to explain how she developed the infection. The nurse should respond that which of the following organisms is the most common cause?

Correct Answer is B

Explanation

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