Patient Data
According to the client's vital signs, he is experiencing
The Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"B"}
Tachypnea refers to abnormally rapid breathing, characterized by an increased respiratory rate. In adults, tachypnea is typically defined as a respiratory rate above 20 breaths per minute at rest.
Tachycardia is a medical condition characterized by a rapid heart rate, typically above 100 beats per minute in adults at rest.
Eupnea refers to normal, unlabored breathing at a normal rate and depth. It is characterized by regular inhalations and exhalations without any signs of respiratory distress or abnormalities.
Hypothermia is a medical condition characterized by an abnormally low body temperature, typically below 95°F (35°C).
Bradycardia is a medical condition characterized by an abnormally slow heart rate, typically below 60 beats per minute in adults.
Hyperthermia is a medical condition characterized by an abnormally high body temperature, typically above 100.4°F (38°C).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["38"]
Explanation
Drop rate (gtt/min) = Volume to be infused (mL)/ Time of infusion (minutes) × Drop factor (gtt/mL)
Given:
Volume to be infused (V) = 75 mL Time of infusion (T) = 30 minutes Drop factor = 15 gtt/mL
Using the formula:
Drop rate (gtt/min)= [75/30]*15 Drop rate (gtt/min)=2.5×15
Drop rate (gtt/min)=37.5
Rounding to the nearest whole number, the nurse should regulate the IV to deliver approximately 38 gtt/minute.
Correct Answer is C
Explanation
C. Asking the client to describe their pain allows the nurse to gather subjective information directly from the client, which can provide valuable insight into the quality, intensity, location, and duration of the pain.
A. This option focuses on pain management rather than pain assessment. While identifying effective pain relief measures is important, it does not directly address the need to assess the quality of the client's pain.
B. While numeric pain scales can be useful for quantifying pain intensity, they do not capture the quality or characteristics of the pain.
D. Observing body language and movement can provide valuable information about the client's pain experience, such as grimacing, guarding, or difficulty moving. However, this approach primarily assesses pain behaviors rather than the quality of the pain itself.
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