A patient is prescribed ibuprofen for back pain. The nurse preparing to educate this patient about the drug would consider which information?
1. The drug should be used with caution in patients who consume more than three alcoholic beverages per day.
2. The drug can be taken safely up to the day of a surgical procedure.
3. The drug should be taken at a higher dose if administered with an opioid.
4. The drug is a step 1 analgesic in the World Health Organization's three-step approach to pain management.
4
Rationale 1: Acetaminophen should be used with caution in patients who consume more than three alcoholic beverages per day.
Rationale 2: Nonsteroidal anti-inflammatory drugs should be discontinued 1 to 2 weeks prior to a surgical procedure to reduce the risk of bleeding.
Rationale 3: If a nonsteroidal anti-inflammatory drug is administered with an opioid, the opioid dose can be reduced. The NSAID dose does not need to be adjusted.
Rationale 4: Acetaminophen and nonsteroidal anti-inflammatory drugs such as ibuprofen are analgesics used in the first step in the World Health Organization's three-step approach to pain management.
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A nursing manager is concerned about the number of infections on the hospital unit. What action by the manager would best help prevent these infections?
a. Auditing staff members' hand hygiene practices b. Ensuring clients are placed in appropriate isolation c. Establishing a policy to remove urinary catheters quickly d. Teaching staff members about infection control methods
The release of large numbers of mentally ill people into the community was known as
1. discharge. 2. commitment. 3. institutionalization. 4. deinstitutionalization.
A maternal serum alpha-fetoprotein (MSAFP) test reveals an hCG level of 2.5 MoM. The nurse interprets these results as indicating which of the following?
A) The fetus is at greater risk for Tay-Sachs disease. B) The fetus is at greater risk for hemophilia A. C) The fetus is at greater risk for Down's syndrome. D) The fetus is at greater risk for Edwards syndrome.
For a cognitively impaired client who cannot accurately report pain, what is the first action that you should take?
a) Closely assess for nonverbal signs such as grimacing or rocking. b) Obtain baseline behavioral indicators from family members. c) Look at the MAR and chart to note the time of the last dose of analgesic and the client's response. d) Give the maximum PRN dose within the minimum time frame for relief.