A nurse is assessing a client who has a fever, an infection of a flank incision, and is in severe pain. Which type of pulse rate would the client most likely exhibit?
Bradycardia.
Bigeminal.
Dysrhythmia.
Tachycardia.
The Correct Answer is D
The client would most likely exhibit tachycardia, which is an abnormally fast heart rate. Fever and infection can both cause an increase in heart rate as the body tries to fight off the infection. Severe pain can also cause an increase in heart rate due to the body's stress response. Therefore, it is likely that the client would have a fast pulse rate, or tachycardia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
This statement demonstrates that the nurse appropriately evaluated the goal because it shows that the client was able to meet the goal of stating two positive aspects of rehab therapy by the end of the week. The other statements indicate that the outcome was either not met, incomplete, or only partially met.
Correct Answer is D
Explanation
Providing information about community resources illustrates the role of the coordinator of services for a home health care nurse. As a coordinator of services, the home health care nurse helps to connect the client with resources and services available in the community.
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