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 C

Explanation

A. Inflammation of the tongue is associated with vitamin B deficiencies, not vitamin C.
B. Pale, brittle nails are more indicative of iron deficiency rather than vitamin C deficiency.
C. Dry, red conjunctiva is a manifestation of scurvy, a condition caused by vitamin C deficiency.
D. Impaired wound healing is a general sign of malnutrition but is not specific to vitamin C deficiency.

A. Instruct the client to stay in the bathtub no longer than 20 min. B. Fill the bathtub with water at 48 C (118.4° F). C. Use bath oil in the client’s bathtub D. Provide the client with non-slip bath strips in the bathtub.

Correct Answer is D

Explanation

A. The duration of time in the bathtub should be based on the client's tolerance but should not exceed 20 minutes.
B. Water temperature should be warm but not excessively hot to avoid burns or discomfort.
C. Bath oils can make the bathtub slippery and increase the risk of falls. They should be avoided.
D. Providing non-slip bath strips enhances safety and helps prevent the client from slipping in the bathtub.

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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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