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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The use of an incentive spirometer is more relevant for preventing respiratory complications, not related to the client's low WBC count.
B. Negative-pressure airflow rooms are typically used for clients with airborne infections, not those with low WBC counts.
C. Cooked fruits may be advisable to reduce the risk of bacterial contamination in immunosuppressed clients, but it does not directly address the low WBC count.
D. Reporting temperatures greater than 39.5°C (102.3°F) lasting more than 4 hours is crucial as it may indicate an infection, and prompt intervention is needed in immunosuppressed clients.
Correct Answer is D
Explanation
A. Apples do not contain a significant amount of calcium.
B. Cream cheese is not a good source of calcium.
C. While lean beef is a source of protein, it does not provide a significant amount of calcium.
D. Kale is a leafy green vegetable rich in calcium and can be recommended to increase calcium intake in individuals with osteoporosis.
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