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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.8"]
Explanation
To calculate the volume of enoxaparin to administer, you would use the formula: Volume = Dose / Concentration. Here, the dose required is 30 mg, and the concentration available is 40 mg/mL. Plugging the values into the formula gives you: Volume = 30 mg / 40 mg/mL = 0.75 mL. Therefore, the nurse should administer 0.8 mL when rounded to the nearest tenth.
Correct Answer is {"dropdown-group-1":"F","dropdown-group-2":"D"}
Explanation
The client's symptoms of profuse sweating, irritability, weight loss, heat intolerance, and bulging eyes are indicative of hyperthyroidism, possibly from Graves' disease. Hyperthyroidism speeds up metabolism, leading to the described symptoms, including increased heart rate.
Continuous telemetry is appropriate for monitoring the heart, as the client is experiencing sinus tachycardia, which is a common finding in hyperthyroidism.
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