Physical signs of unrelieved pain include which of the following? Select all that apply.

Increased blood pressure

Increased respiratory rate

Increased heart rate

Answer and Explanation

Correct Answer : A,B,C

Choice A reason: Increased blood pressure is a common physiological response to pain. When a person experiences pain, the body's sympathetic nervous system is activated, causing an increase in heart rate and blood pressure. This response is part of the body's fight-or-flight mechanism, intended to help cope with the stressful situation.

Choice B reason: Increased respiratory rate is another sign of unrelieved pain. Pain can lead to rapid, shallow breathing as the body reacts to the discomfort. This response can help deliver more oxygen to tissues during times of stress but can also contribute to feelings of anxiety and fatigue if it continues over a prolonged period.

Choice C reason: Increased heart rate is a typical response to pain. Just like increased blood pressure, the heart rate rises as part of the body's sympathetic response to pain, which prepares the body to either confront or escape the source of pain. Monitoring heart rate can therefore provide critical information about the patient's pain levels and overall physiological state.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["B","D"]

Explanation

Choice A reason: Poor nutrition related to alcoholism can lead to abdominal obesity, but it is not a direct cause of ascites in liver cirrhosis. Ascites is primarily due to factors like portal hypertension and decreased colloid oncotic pressure.

Choice B reason: Portal hypertension is a significant cause of ascites in liver cirrhosis. The increased pressure in the portal vein causes proteins to leak from the blood vessels into the peritoneal cavity, leading to fluid accumulation.

Choice C reason: Osmoreceptors in the hypothalamus stimulating thirst can lead to excessive fluid intake, but this is not a direct cause of ascites related to liver cirrhosis. Ascites is more directly linked to portal hypertension and decreased colloid oncotic pressure.

Choice D reason: Decreased colloid oncotic pressure due to the liver's inability to synthesize albumin is a key factor in the development of ascites. Albumin helps maintain fluid balance in the blood vessels, and its deficiency leads to fluid leakage into the peritoneal cavity.

A. Fluid restrictions B. Iron supplements C. PRBC transfusion D. O2 therapy

Correct Answer is ["B","C","D"]

Explanation

Choice A reason: Fluid restrictions are not appropriate for stabilizing a patient with acute anemia. In fact, patients with anemia might require fluid resuscitation to maintain adequate blood volume and pressure. Restricting fluids could potentially worsen the patient's condition.

Choice B reason: Iron supplements are necessary for patients with acute anemia, especially if the anemia is due to iron deficiency. Supplementation helps replenish iron stores in the body, aiding in the production of hemoglobin and red blood cells which are critical for carrying oxygen to tissues.

Choice C reason: PRBC (Packed Red Blood Cells) transfusion is a common and effective intervention for acute anemia. It quickly increases the number of red blood cells in the patient's circulation, thereby improving oxygen delivery to tissues and alleviating symptoms of anemia such as fatigue and weakness.

Choice D reason: O2 therapy, or oxygen therapy, is crucial for stabilizing patients with acute anemia. Anemia results in reduced oxygen-carrying capacity of the blood, and supplemental oxygen helps ensure that tissues receive sufficient oxygen. This intervention can be lifesaving in severe cases of anemia.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Physical signs of unrelieved pain include which of the following? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Identify two causes of ascites related to liver cirrhosis:

Correct Answer is ["B","D"]

Explanation

Choose appropriate interventions to stabilize the patient with acute anemia. Select all that apply.

Correct Answer is ["B","C","D"]

Explanation

The health care provider prescribes IV vancomycin for a patient with pneumonia. Which priority action should the nurse perform before the first dose of the antibiotic?

In any clinical setting, which health care team member is responsible for developing an individualized plan of care that includes nursing diagnoses, interventions, and outcomes including the patient's self-management care plan?

Which blood pressure (BP) finding by the nurse indicates that no changes in therapy are needed for a 48-year-old patient with newly diagnosed hypertension?

Which outcome would the nurse include in the care plan for a patient with multiple sclerosis (MS)? Select all that apply.

When suctioning a patient, the development of which three clinical manifestations indicates that the nurse would discontinue suctioning immediately?

Which patient problem is a significant risk factor for the development of delirium in the intensive care unit (ICU)?