Answer to Question 1
C
C. An expected assessment finding of a client experiencing acute pain would be diaphoresis due to sympathetic nerve stimulation.
A. An expected assessment finding of a client experiencing acute pain would be an increased heart rate, tachycardia not bradycardia.
B. An expected assessment finding of a client experiencing acute pain would be an increased respiratory rate, not bradypnea.
D. The client experiencing acute pain will have increased muscle tension.
Answer to Question 2
A, B
Some tests of renal function and urine composition require urine to be collected over 2 to 72 hours. The 24-hour timed collection is most common. These tests measure for elements such as amino acids, creatinine, hormones, glucose, and adrenocorticosteroi ds, whose levels fluctuate throughout the day. A timed urine collection also can serve as a means to measure the concentration or dilution of urine. Bacteria count and color can be determined through a routine urinalysis.
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
Hubba Hubba Nurse Smiley
A hot stone placed under the client’s neck.
Testing patellar reflex, client in a sitting position
Client’s view with visual field loss
Nursing Care Plan Process: Client with High Blood Lipid Levels