When collecting data, the nurse understands which individual is the primary source of information regarding pain tolerance.

Patient

Patient's roommate

Certified Nursing Assistant (CNA)

Nurse

Answer and Explanation

The Correct Answer is A

A. The patient is the primary source of information regarding their pain tolerance, as pain is subjective and only the patient can accurately describe their experience.

B. A patient's roommate cannot reliably report on the patient's pain experience.

C. The CNA may observe signs of pain but cannot determine the patient's subjective pain tolerance.

D. The nurse can assess the patient's pain based on behaviors and reports but relies on the patient for direct information.

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Correct Answer is ["0.25"]

Explanation

To calculate the volume of lidocaine to administer, you would use the formula: Volume = Dose / Concentration. Here, the dose needed is 50 mg, and the concentration available is 200 mg/mL. Dividing the required dose by the concentration gives: 50 mg / 200 mg/mL = 0.25 mL.

A. Increased calcium storage in the bones B. Increased joint stiffness C. Increased muscle mass D. Increased balance

Correct Answer is B

Explanation

A. Calcium storage in bones decreases with age, contributing to conditions like osteoporosis.

B. Joint stiffness is a common age-related change due to decreased flexibility and wear on the joints.

C. Muscle mass typically decreases with age, known as sarcopenia.

D. Balance tends to decrease with age due to changes in muscle strength, coordination, and sensory function.

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When collecting data, the nurse understands which individual is the primary source of information regarding pain tolerance.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer lidocaine 50 mg IV bolus. Available is lidocaine 200 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.25"]

Explanation

A nurse is assessing an older adult client who is experiencing age-related changes. Which findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is preparing to administer amoxicillin 100 mg PO every 8 hr to a toddler who weighs 20 kg. The recommended dosage range is 20 to 25 mg/kg/day. Which action by the nurse is appropriate?

A prescription reads morphine sulfate, 8 mg stat. The medication ampule reads morphine sulfate, 10mg/ml. The nurse prepares how many milliliters (mL) to administer the correct dose. Round to the nearest tenth.

A client is to receive enoxaparin 30 mg subcutaneously. Available is enoxaparin 40 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

The nurse caring for a newborn in the maternal-newborn unit notes the objective finding shown in the diagram. What is the appropriate nursing intervention?

The client has a prescription for dexamethasone 6 mg IV (intravenous) push STAT. Available is a vial of dexamethasone containing 4 mg/ml. The should draw how many milliliters into the syringe for the dos.

The nurse is caring for a group of clients in the outpatient facility. Which clients are at risk for developing skin cancer? Select three options that place a client at risk for skin cancer

The nurse is developing a plan of care for a client who will be admitted to the medical-surgical unit with a diagnosis of deep vein thrombosis (DVT) of the right leg. What should be included in the client's care plan?

The nurse is admitting a client to the medical-surgical unit and notes the skin breakdown shown in the diagram. How should the nurse document the finding?