A registered nurse, who has practiced for more than 20 years and has had a lot of experience caring for postsurgical patients, was questioned by a student nurse about why many nurses do not give the full amount of pain medication ordered by surgeons

The nurse replied that the literature shows that many nurses do not give the full amount of pain medication because they: a. do not believe that the patient is experiencing that much pain.
b. do not want to contribute to pain medication addiction.
c. believe that limiting the amount of pain medication lowers costs.
d. are concerned about drug interactions with pain medication and other postsurgical medications.


B
Many nurses avoid acknowledging a patient's pain because of their own fear of contributing to addiction. These fears and beliefs lead to mistrust between the nurse and patient, increased patient recovery time, increased complications and mortality, increased psychological problems, and increased cost.

Nursing

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A nurse is working with a woman who is 4 months pregnant. The woman has had a series of temporary housing, has no job, and is wearing clothing that is obviously way too big for her. What action can the nurse take to most improve the health of this woman a

A. Arrange transportation for her to get to a community food bank. B. Consult a social worker to help her apply for the WIC program. C. Encourage the woman to make her return appointment before leaving. D. Ask the woman to fill out an application for the federal Medicare program.

Nursing

An older adult client is trialing the use of an infrared listening device (IRLD). How does this device have the potential to increase the client's ability to hear?

A) The device directs sounds into one ear rather than into both ears B) The device increases the volume of foreground noises C) The device enhances the function of the auditory nerve D) The device converts light into an auditory stimulus

Nursing

A nurse is providing care to a patient who is a Jehovah's Witness. Against the patient's wishes, the physician ordered the nurse to give the patient two units of packed red blood cells

The nurse knows that the blood will save the patient's life, but also that it is against the patient's wishes; she is unsure what is the right thing for her to do. The nurse is experiencing a(n): a. Reflection encounter b. Ethical dilemma c. Moral outrage d. Moral distress

Nursing

The nurse is reviewing the characteristics of homeostatic mechanisms prior to assessing a client. Which characteristics should the nurse keep in mind during this assessment?

1. They are self-regulating. 2. They are compensatory. 3. They are regulated by negative feedback systems. 4. They can require several feedback mechanisms to correct only one physiologic imbalance. 5. They are related to a closed system.

Nursing