with Complete Solutions
A nurse assesses a clients respiratory rate and is that it is below the expected reference
range. The nurse should identify that which of the following findings can cause a
decreased respiratory rate? - Answer-The client takes a narcotic pain medication for
chronic pain.
A nurse is caring for a middle adult client who has stomatitis and is unable to hold an
oral probe in their mouth. Which of the following alternative routes should the nurse
used to obtain the most accurate core temperature of the client? - Answer-Rectal
A nurse is conducting a general survey on a client who is being admitted to a long-term
facility. The nurse is assessing the clients emotional state. Which of the following
findings should the nurse record as a subjective, unexpected finding? - Answer-The
client reports they feel sad and lonely most of the time.
A nurse is caring for a client who is reporting pain as a four on a scale of 0 to 10. Upon
further assessment, which of the following findings should the nurse identify as
manifestations of chronic pain? (Select all that apply) - Answer-The client reports that
the pain has been present for approximately four years.
The client reports never feeling total relief from pain.
The client reports that the pain is recurring and does not always originate in the same
location.
Nurse is providing teaching to a client who asks, "what are things that can affect my
blood pressure?" which of the following information should the nurse include as factors
that affect blood pressure? (Select all that apply.) - Answer-Time of day.
obesity.
Diuretic medication.
smoking.
The nurse is preparing to obtain a clients height during a general survey. Which of the
following actions should the nurse take? - Answer-ensure the clients feet are in contact
with the wall or measuring pole.
A nurse is obtaining a clients pulse and notes a regular rhythm rate of 110/minute. The
nurse should identify this as which of the following unexpected findings? - Answer-
Tachycardia