. A nurse is caring for a postoperative client. The nurse should base the client's pain management interventions primarily on which methods of determining the intensity of the client's pain?

The patient's chart

Visual observation for nonverbal signs of pain

The client's self-report of pain severity

The nature and invasiveness of the surgical procedure

Answer and Explanation

The Correct Answer is C

A. The patient's chart may provide historical information but does not reflect the current pain intensity the client is experiencing.

B. Visual observation for nonverbal signs of pain can be useful, especially for nonverbal patients, but self-reporting is the most accurate measure of pain intensity.

C. The client's self-report of pain severity is the gold standard for assessing pain intensity, as it reflects the individual’s personal experience of pain.

D. While the nature and invasiveness of the surgical procedure can provide context for expected pain levels, they do not replace the importance of the client's self-report in managing pain effectively.

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Correct Answer is D

Explanation

A. Sensitivity to cold is more commonly associated with hypothyroidism, not hyperthyroidism.

B. Constipation is also more commonly associated with hypothyroidism; hyperthyroidism often causes increased bowel movements.

C. Weight gain is typically not seen in hyperthyroidism; clients often experience weight loss despite an increased appetite.

D. Irritability and nervousness are common manifestations of hyperthyroidism due to increased metabolism and sympathetic nervous system activity.

A. older adults B. infants and children C. adolescents D. pregnant women

Correct Answer is D

Explanation

A. Linea nigra is not typically found in older adults.

B. Infants and children do not generally exhibit linea nigra.

C. Adolescents do not commonly have linea nigra.

D. Linea nigra is a dark line that appears on the abdomen of pregnant women due to hormonal changes and increased pigmentation.

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. A nurse is caring for a postoperative client. The nurse should base the client's pain management interventions primarily on which methods of determining the intensity of the client's pain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has hyperthyroidism. The nurse should expect the client to report which manifestations?

Correct Answer is D

Explanation

Linea nigra is commonly found on the abdomens of:

Correct Answer is D

Explanation

When assessing the elbow, a nurse asks a client to hold the arm out and turn the palm down. When the client performs this maneuver, the nurse is testing what?

A nurse is preparing to administer cimetidine 300 mg PO twice daily to a client. The amount available is cimetidine 300 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is providing teaching for a client who has a new diagnosis of gastroesophageal reflux disease (GERD). The client asks about foods that should be avoided. Which food should the nurse encourage the client to avoid?

When a patient is unable to see objects at a distance, which term is used to document this finding?

The nurse is teaching a group of unlicensed assistive personnel about the stethoscope. Which statements about the stethoscope are appropriate for the nurse to include in the teaching session? (Select all that apply.)

A nurse has been assigned four patients, of which one of the patients has impaired immobility. Which complications should the nurse expect as a result of gout? (Select the four options that apply.)

The nurse is performing a neurological assessment on a client and is assessing the function of cranial nerves III, IV, and VI. Assessment of which aspect of function will yield the best information about these cranial nerves?