Upon entering the client's room, the nurse discovers that the ...

[ETearle]

Upon entering the client's room, the nurse discovers that the client is experiencing acute pain. Which of the following is an expected assessment finding for this client?
 
  a. Bradycardia
  b. Bradypnea
  c. Diaphoresis
  d. Decreased muscle tension

Question 2

The nurse works with older adult clients in a wellness-screening clinic on a weekly basis. Which of the following is the best statement made by the nurse to clients in the older adult age group?
 
  a. Your shoulder pain is normal for your age.
  b. Regular exercise will maintain and strengthen your functional ability.
  c. Don't worry about taking that combination of medications because your doctor has prescribed them.
  d. Why don't you begin walking 3 to 4 km per day, and we'll evaluate how you feel next week?

[Tonyam972]

Answer to Question 1

C
An expected assessment finding of a client experiencing acute pain would be diaphoresis due to sympathetic nerve stimulation.
An expected assessment finding of a client experiencing acute pain would be an increased heart rate, not bradycardia.
An expected assessment finding of a client experiencing acute pain would be an increased res-piratory rate, not bradypnea.
The client experiencing acute pain will have increased muscle tension.

Answer to Question 2

B
The primary benefits of exercise include maintaining and strengthening functional ability and promoting a sense of enhanced well-being.
Shoulder pain is not a normal finding in the older adult. It may indicate a condition such as ar-thritis.
Periodic and thorough review of all medications being used is important to restrict the number of medications used to the fewest necessary. Concurrent use of medications increases the risk for adverse reactions.
Exercise programs should begin conservatively and progress slowly.