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The Nurse Is Reviewing Data for Several Patients A) Patients a and C
B) Patient a Only
C)

Question 35

Multiple Choice

The nurse is reviewing data for several patients. Which physiologic assessment findings should the nurse recognize are consistent with those of an adult experiencing acute pain? I
 Findings  Patient A  Patient B  Patient C Patient D  Temperature 100.2F98.6F101F98.8F Pulse Rate 6213676110 Respiratory Rate 14301820 Blood Pressure 120/80110/86102/78150/88 Other physical  assessment  findings:  Pupils equal and  react to light  accommodation.  Slight  expiratory  wheezes heard  over bronchial  lung fields.  Respirations  are shallow.  color exhibits  pallor.  Skin is warm  to touch,  color normal,  and edema  noted in  lower  extremities.  Patient is  diaphoretic.  Pupils are  equal and  dilated to 5 cm.\begin{array} { | l | l | l | l | l | } \hline { \text { Findings } } & { \text { Patient A } } & { \text { Patient B } } & { \text { Patient } \mathrm { C } } & { \text { Patient D } } \\\hline \text { Temperature } & 100.2 ^ { \circ } \mathrm { F } & 98.6 ^ { \circ } \mathrm { F } & 101 ^ { \circ } \mathrm { F } & 98.8 ^ { \circ } \mathrm { F } \\\hline \text { Pulse Rate } & 62 & 136 & 76 & 110 \\\hline \text { Respiratory Rate } & 14 & 30 & 18 & 20 \\\hline \text { Blood Pressure } & 120 / 80 & 110 / 86 & 102 / 78 & 150 / 88 \\\hline \begin{array} { l } \text { Other physical } \\\text { assessment } \\\text { findings: }\\\\\\\\\\\\\end{array} & \begin{array} { c } \text { Pupils equal and } \\\text { react to light } \\\text { accommodation. } \\\text { Slight } \\\text { expiratory } \\\text { wheezes heard } \\\text { over bronchial } \\\text { lung fields. }\end{array} & \begin{array} { c } \text { Respirations } \\\text { are shallow. } \\\text { color exhibits } \\\text { pallor. }\\\\\\\\\\\end{array} & \begin{array} { l } \text { Skin is warm } \\\text { to touch, } \\\text { color normal, } \\\text { and edema } \\\text { noted in } \\\text { lower } \\\text { extremities. }\\\\\end{array} & \begin{array} { l } \text { Patient is } \\\text { diaphoretic. } \\\text { Pupils are } \\\text { equal and } \\\text { dilated to } 5 \\\mathrm {~cm} .\\\\\\\end{array} \\\hline\end{array}


A) Patients A and C
B) Patient A only
C) Patients B and D
D) Patient C only

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