.
Alert and oriented to date, time, and place
Buccal cyanosis and capillary refill greater than 3 seconds
Clear breath sounds and nonproductive cough
Hemoglobin concentration of 13 g/dl and leukocyte count 5,300/mm3
Acute pain
Chronic pain
Superficial pain
Deep pain
Telling the client to strictly limit the amount of movement of his inflamed joints
Teaching the client’s family how to transfer the client into a wheelchair
Teaching the client the proper method for massaging inflamed, sore joints
Encouraging gentle range-of-motion exercises after administering aspirin and before rising
Specificity theory
Pattern theory
Gate-control theory
Central-control theory
The client remains free of the aftermath phase of the pain experience.
The client experiences decreased frequency of acute pain episodes.
The client continues normal growth and development with intact support systems.
The client develops increased tolerance for severe pain in the future.
Pharmacologic therapy
Environmental alteration
Control and distraction
Cutaneous stimulation
Auscultation immediately after inspection and then percussion and palpation
Percussion, followed by inspection, auscultation, and palpation
Palpation of tender areas first and then inspection, percussion, and auscultation
Inspection and then palpation, percussion, and auscultation
“What brought you to the clinic today?”
“Would you describe your overall health as good?”
“Do you understand what is happening?”
“Is there anything else you would like to tell me?”
Brief statement about what brought the client to the health care provider
Client complaints of chest pain, dyspnea, or abdominal pain
Information about the client’s sexual performance and preference
The client’s name, address, age, and phone number
The client distracts himself during pain episodes.
The client denies the existence of any pain.
The client reports no need for family support.
The client reports pain reduction with decreased activity.
The chief complaint
Past health status
History immunizations
Location of an advance directive
Serum sodium level of 138 mEq/L
Serum potassium level of 3.1 mEq/L
Serum glucose level of 120 mg/dl
Serum creatinine level of 0.6 mg/100 ml
Assessing the medial malleoli for pitting edema
Performing Allen’s test
Assessing the Homans’ sign
Palpating the pedal pulses
Type A-delta fibers
Autonomic nerve fibers
Type C fibers
Somatic efferent fibers
Referring the client for hypnosis
Administering pain medication as prescribed
Removing all glaring lights and excessive noise
Using transcutaneous electric nerve stimulation
One half of all breast cancer deaths occur in women ages 35 to 45
The tail of Spence area must be included in self-examination
The position of choice for the breast examination is supine
A pad should be placed under the opposite scapula of the breast being palpated
2 minutes
3 minutes
4 minutes
5 minutes
Pain is an objective sign of a more serious problem
Pain sensation is affected by a client’s anticipation of pain
Intractable pain may be relieved by treatment
Psychological factors rarely contribute to a client’s pain perception
Assessing the client to rule out possible complications secondary to surgery
Checking the client’s chart to determine when pain medication was last administered
Explaining to the client that the pain should not be this severe 3 days postoperatively
Obtaining an order for a stronger pain medication because the client’s pain has increased
Left hip dressing dry and intact
Blood pressure of 114/78 mm Hg; pulse rate of 82 beats per minute
Left leg in functional anatomic position
Left foot cold to touch; no palpable pedal pulse
Allowing the client to keep his eyes open
Having the client hold on to furniture
Letting the client spread his feet apart
Standing close to provide support
These measures are more effective than analgesics.
These measures decrease input to large fibers.
These measures potentiate the effects of analgesics.
These measures block transmission of type C fiber impulses.
Family role and relationship patterns
Educational level and financial status
Promotive, preventive, and restorative health practices
Use of prescribed and over-the-counter medications
Tipping the client’s head away from the examiner and pulling the ear up and back
Inserting the otoscope inferiorly into the distal portion of the external canal
Inserting the otoscope superiorly into the proximal two-thirds of the external canal
Bracing the examiner’s hand against the client’s head
Aortic arch
Pulmonic area
Tricuspid area
Mitral area