A nurse is assessing a newborn who had a circumcision 2 hr ago. Which of the following findings should the nurse identify as an indication that the newborn has acute pain?

Decrease in heart rate

Increase in vagal nerve tone

Decrease in respiratory rate

Increase in muscle tone

Answer and Explanation

The Correct Answer is D

A. Decrease in heart rate: Acute pain typically causes an increase in heart rate, not a decrease.
B. Increase in vagal nerve tone: An increase in vagal nerve tone can actually result in a decreased heart rate and is not a direct indicator of acute pain.
C. Decrease in respiratory rate: Acute pain usually causes an increase in respiratory rate, not a decrease.
D. Increase in muscle tone: This is correct. An increase in muscle tone can indicate acute pain as the body tenses in response to pain.

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Correct Answer is A

Explanation

A. Ask the client to describe his spiritual beliefs. This is correct. Understanding the client’s spiritual beliefs is the first step in providing appropriate and individualized care.
B. Provide available resources on spiritual care for the client. Providing resources is helpful but should follow an understanding of the client’s specific needs and beliefs.
C. Consult a dietitian to incorporate the client's religious preferences into a meal plan. This is important for comprehensive care but is not the first step in addressing spiritual distress related to treatment conflicts.
D. Offer to contact the local leader of the client's religious group. Contacting a religious leader can be supportive, but the first step should be to understand the client’s specific spiritual beliefs and concerns.

A. Methadone B. Hydrocodone C. Morphine D. Gabapentin

Correct Answer is D

Explanation

A. Methadone Methadone is an opioid used primarily for severe pain and opioid dependency.
B. Hydrocodone Hydrocodone is an opioid used for moderate to severe pain but not specifically for neuropathic pain.
C. Morphine Morphine is an opioid used for severe pain but not specifically for neuropathic pain.
D. Gabapentin Gabapentin is an anticonvulsant medication that is commonly used to treat neuropathic pain, making it appropriate for diabetic neuropathy.

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A nurse is assessing a newborn who had a circumcision 2 hr ago. Which of the following findings should the nurse identify as an indication that the newborn has acute pain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who reports feeling spiritual distress because his prescribed treatment plan conflicts with his religion. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A nurse is caring for a client who has diabetes mellitus and peripheral neuropathy in her lower extremities. Which of the following medications should the nurse expect the provider to prescribe to manage the client's neuropathic pain?

Correct Answer is D

Explanation

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