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A practical nurse is gathering data on a laboring client's perception of pain. Which of the following should be included? (Select All that Apply.)

The quality of the pain

The client's allergies

The location of the pain

The intensity of the pain

The client's family history of pain

The client's blood pressure

Answer and Explanation

Correct Answer : A,C,D

A. The quality of the pain – Correct; describes how the pain feels (e.g., sharp, dull, cramping).

B. The client's allergies – Incorrect; allergies are important for medication safety, but they do not assess pain perception.

C. The location of the pain – Correct; helps determine if the pain is contraction-related or another issue.

D. The intensity of the pain – Correct; measured using a pain scale.

E. The client's family history of pain – Incorrect; individual perception of pain is more relevant than family history.

F. The client's blood pressure – Incorrect; BP is monitored in labor but is not part of pain perception assessment.

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Correct Answer is B

Explanation

A. Increased risk of vomiting – Incorrect; ORS does not increase vomiting risk. It is given in small amounts to prevent vomiting.

B. Alleviation of diarrhea symptoms – Incorrect; ORS does not stop diarrhea, but it prevents dehydration.

C. Decreased levels of electrolytes – Incorrect; ORS helps restore electrolytes, not decrease them.

D. Increased risk of dehydration – Incorrect; ORS prevents dehydration, which is its primary purpose.

A. Halfway between the symphysis pubis and the umbilicus. B. Just above the pubic bone C. The uterus would not be palpable at 16 weeks D. At the umbilicus

Correct Answer is A

Explanation

A. Halfway between the symphysis pubis and the umbilicus. – Correct; at 16 weeks, the fundus is typically midway between the symphysis pubis and the umbilicus.

B. Just above the pubic bone – Incorrect; the fundus is at the pubic symphysis at 12 weeks, not 16 weeks.

C. The uterus would not be palpable at 16 weeks – Incorrect; the uterus is palpable by 12 weeks and grows above the symphysis pubis as pregnancy progresses.

D. At the umbilicus – Incorrect; the fundus reaches the umbilicus at 20 weeks, not 16 weeks.

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A practical nurse is gathering data on a laboring client's perception of pain. Which of the following should be included? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse understands that a potential benefit of oral rehydration solution (ORS) in children with diarrhea is the:

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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