A nurse is collecting data on a client who reports acute pain at a level of 7 on a scale of 0 to 10. Which of the following findings should the nurse expect?

Decreased respiratory rate

Hypoglycemia

Hypertension

Bradycardia

Answer and Explanation

The Correct Answer is C

A.   Acute pain is more likely to increase respiratory rate, not decrease it.
B.   Acute pain does not typically cause hypoglycemia.
C.   Acute pain is often associated with an increase in blood pressure (hypertension).
D.   Acute pain tends to increase heart rate (tachycardia), not decrease it.

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Correct Answer is D

Explanation

A. Creatine kinase is an enzyme associated with muscle damage, not an indicator of infection.
B. Hemoglobin (Hgb) measures the amount of oxygen-carrying pigment in the blood and is not specific to infection.
C. Platelet count reflects the number of platelets in the blood and is not a direct indicator of infection.
D. An elevated white blood cell (WBC) count is indicative of an immune system response to infection.

A. Albuterol B. Hydrocortisone sodium succinate C. Diphenhydramine D. Epinephrine

Correct Answer is D

Explanation

A. The first-line treatment for anaphylactic shock is epinephrine, as it rapidly reverses the severe manifestations of an allergic reaction.
B. Albuterol is a bronchodilator and may help with respiratory symptoms but is not the first-line treatment for anaphylaxis.
C. Steroids like hydrocortisone may be used in conjunction with epinephrine but are not the immediate first choice.
D. Diphenhydramine may be used to manage symptoms but is not as rapidly effective as epinephrine.

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A nurse is collecting data on a client who reports acute pain at a level of 7 on a scale of 0 to 10. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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