The nurse is providing preoperative teaching to a client for whom a cesarean birth under general anesthesia is scheduled for the next day. Which statement by the client indicates that she requires additional information?
1. "General anesthesia can be accomplished with inhaled gases."
2. "General anesthesia usually involves administering medication into my IV."
3. "General anesthesia will provide good pain relief after the birth."
4. "General anesthesia takes effect faster than an epidural."
3
Explanation: 3. General anesthesia provides no pain relief after birth, as regional anesthesia does.
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Match the pain theory to the correct physiologic basis for the pain
A. Specificity theory 1. Light touch applied to the skin would produce the sensation of touch through low-frequency firing of the receptor. B. Pattern theory 2. Repeated sweeping of a soft-bristled brush on the skin over or near a painful area may result in pain reduction for several minutes. C. Gate control theory 3. Proposes that the brain contains a widely distributed neural network that contains somatosensory, limbic, and thalamocortical components. D. Neuromatrix theory 4. Describes how an acute injury is predicted to be but does not take into account the person's feelings of how the pain feels to him or her.
A patient is receiving intravenous vincristine [Oncovin]. The patient complains of pain at the IV insertion site. The nurse examines the site and notes an area of erythema and edema. What will the nurse do?
a. Change the IV site and notify the provider of the extravasation. b. Contact the provider to suggest using a different chemotherapeutic agent. c. Obtain an order for a topical anesthetic to minimize discomfort. d. Slow the rate of infusion to reduce the patient's discomfort.
A client with external hemorrhoids has called the primary physician's office and has asked the nurse how much fiber and what volume of fluids should be ingested daily to help with the discomfort of the hemorrhoids
What should the nurse tell the client? a. 5-10 g fiber, 1000 ml b. 10-20 g fiber, 1500 ml c. 20-30 g fiber, 2500 ml d. 30-40 g fiber, 4000 ml
A patient is found to have small, raised lesions on the rim of the ear. The nurse realizes that this finding is consistent with which health problem?
1. hypertension 2. gout 3. heart disease 4. kidney failure