A disadvantage of nonpharmacological pain relief that the nurse should be aware of is that:
A. The methods cannot be used with children
B. It is ineffective with severe pain
C. It is ineffective without the concomitant use of medication
D. The client may have feelings of disorientation or an inability to concentrate
D
D. Client may not be able to concentrate on technique because of intense pain. Visual, hearing, cognitive, and motor impairments may make it difficult to concentrate on technique.
A. A number of nonpharmacological pain management therapies can be used successfully with children. Distraction and relaxation strategies work for all ages. The technique or device used will need to be suitable to the developmental level of the child.
B and C. Client states pain intensity is unchanged or escalating, or client is demonstrating nonverbal behaviors indicative of pain. Consider administering analgesics before technique.
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A patient with chronic kidney disease is receiving an ACE inhibitor. The nurse understands that this medication helps slow the progression of this disease through what process?
A) It lowers the level of blood glucose. B) It prevents nephron hyperfiltration. C) It increases the urine output. D) It filters waste from the blood.
The nurse is preparing discharge instructions for a patient who has tactile alterations in his legs. Which instructions should be included? (Select all that apply.)
a. Verify bath water temperature is approximately 39.5 ° C. b. Do not use hot or cold therapy on any extremity. c. Use sturdy shoes when walking outside or on hard surfaces. d. Report any changes in skin color on your legs to your health care provider. e. Set your water heater so that scalding is not possible.
The sibling of a client with schizophrenia states to the nurse: "I understand there is a genetic link to this disorder. Can you tell me anything more about that?" The nurse should respond:
A) "Recent research indicates schizophrenia is linked mainly to an excess in brain neurotransmitters, not genetics." B) "As long as you are not identical twins, the occurrence in siblings is just a coincidence." C) "Siblings of people with schizophrenia have a much higher incidence of the having the disease as well." D) "You should have gene testing if you are concerned you will develop the disease."
After the nurse instructs a patient with PKD on home care, the patient knows to contact the health care provider immediately when what sign/symptom occurs?
a. Urine is a clear, pale yellow color. b. Weight has increased by 3 pounds in 2 days. c. Two days have passed since the last bowel movement. d. Morning systolic blood pressure has decreased by 5 mm Hg.