A nurse is assessing a client for manifestations of pain. Which finding is a subjective indicator of pain?
The client is restless.
The client's pupils are dilated.
The client reports a burning sensation.
The client is grimacing
The Correct Answer is C
A. Restlessness is an objective sign that may indicate pain, but it is not a subjective report from the client.
B. Pupil dilation is an objective physiological response often associated with pain or stress, not a subjective indicator.
C. A report of a burning sensation is a subjective indicator because it is based on the client’s own description of their pain experience.
D. Grimacing is an objective observation by the nurse, not a subjective report from the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.4"]
Explanation
Volume (mL) = Desired dose (mg) / Concentration (mg/mL)
First, we need to find the concentration:
- Concentration = 3 g/5 mL = 600 mg/mL
Now, we can calculate the volume:
- Volume = 250 mg / 600 mg/mL = 0.42
Therefore, the nurse should administer 0.4 mL
Correct Answer is ["C","D","E"]
Explanation
A. Numbness in the right arm is not a risk factor for skin cancer; it is more related to neurological issues or circulation problems.
B. While working in a beauty parlor may involve exposure to certain chemicals, it is not a significant risk factor for skin cancer compared to other options.
C. A client with a fair skin complexion and blue eyes has a higher risk for skin cancer due to lower melanin levels, making them more susceptible to UV damage.
D. Smoking is primarily associated with lung cancer; however, it can also contribute to skin damage and increased risk for skin cancer, particularly squamous cell carcinoma.
E. A roofer who spends a lot of time outdoors and experiences blistering sunburns is at significant risk for skin cancer due to excessive UV exposure and history of severe sunburns.
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