A nurse is assessing the pain status of a group of clients. Which of the following findings indicates a client is experiencing referred pain?

A client who has peritonitis reports generalized abdominal pain.

A client who has angina reports substernal chest pain.

A client who has pancreatitis reports pain in the left shoulder.

A client who is postoperative reports incisional pain.

Answer and Explanation

The Correct Answer is C

Referred pain is pain that is felt in a location different from its source due to shared nerve pathways or central nervous system processing. A client who has pancreatitis may experience pain in the left shoulder due to irritation of the diaphragm by pancreatic enzymes or inflammation. This pain is referred from the abdominal cavity to the shoulder through the phrenic nerve.

A client who has peritonitis reports generalized abdominal pain that corresponds to the site of inflammation and infection in the peritoneum. A client who has angina reports substernal chest pain that reflects the ischemia and hypoxia of the myocardium. A client who is postoperative reports incisional pain that is caused by tissue damage and inflammation at the surgical site.

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Correct Answer is C

Explanation

In C, There is ST segment elevation in this ECG which is indicative of a myocardial infarction

A. Place the client in a protective environment. B. Clean surfaces with chlorhexidine. C. Wash hands with alcohol-based hand rub. D. Obtain a stool specimen with gloves.

Correct Answer is A

Explanation

Clostridium difficile is a spore-forming bacteria that can cause severe diarrhea and other gastrointestinal symptoms. It's highly contagious and can easily spread to other patients.Alcohol-based hand rubs are not effective against spores and should not be used for hand hygiene in this case. Chlorhexidine is also not sporicidal and should not be used for environmental cleaning. A protective environment is indicated for clients who are at risk of infection from others, not for clients who are infectious to others.Gloves are important for preventing the spread of infection, but they should be used in conjunction with other infection control measures, such as handwashing and protective isolation.

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A nurse is assessing the pain status of a group of clients. Which of the following findings indicates a client is experiencing referred pain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department admitted a client who is having a myocardial infarction. The client has been placed on the heart monitor. Which of the following electrocardiogram strips is indicative of a myocardial infarction?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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