The nurse is caring for a client with a fractured fibula. Which assessment prompts immediate action by the nurse?
a. Reported pain of 4 on a scale of 0 to 10
b. Numbness and tingling in the extremity
c. Swollen extremity where the injury oc-curred
d. Reports of being cold in bed
B
The client with numbness and tingling of the extremity may be displaying the first signs of acute compartment syndrome. This is an acute problem that requires immediate intervention because of possible decreased circulation. Moderate pain and swelling is an expected assessment after a fracture. These findings can be treated with comfort measures. Being cold can be treated with additional blankets or by increasing the temperature of the room.
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A client has just recently been diagnosed with rheumatoid arthritis (RA). The client asks the nurse if RA always causes crippling deformities. Which teaching topics will the nurse include as ways to decrease the likelihood of crippling deformities?
Select all that apply. A) Ignore pain as a warning signal. B) Type instead of hand-writing items if possible. C) Use stronger joints for most activity. D) Avoid stress to any current area of deformity. E) Stop an activity if it is beyond your ability to perform.
A patient has periodic severe nerve pain that is not well controlled with the current pain medication regimen. The nurse anticipates adding a medication from which category?
1. Nonsteroidal anti-inflammatory drugs (NSAID) 2. Opioids 3. Antidepressants 4. Local anesthetics
What is called natural family planning:
1. is the same as coitus interruptus or "pulling out.". 2. uses the calendar method to align the woman's cycle with the natural phases of the moon. 3. is the only contraceptive practice acceptable to the Roman Catholic Church. 4. relies on barrier methods during fertility phases.
The nurse would expect to administer this drug for a sickle-cell pain crisis
1. Morphine sulfate (Duramorph) 2. Meperidine (Demerol) 3. Acetaminophen (Tylenol) 4. Ibuprofen (Advil)