Nonpharmacologic pain relief measures have been ineffective to reduce an older patient's pain to promote sleep. What should the nurse do next?
A) Provide a trial of opioids
B) Give the strongest dosage of analgesic and gradually decrease as necessary
C) Administer the lowest dosage of analgesic and gradually increase as necessary
D) Offer the lowest dosage of analgesic and give only when requested by the patient
C
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When providing pharmacologic pain relief prior to sleep it is advisable to always begin with the weakest type and dosage of analgesic and gradually increase as necessary. Analgesics should be administered regularly to maintain a constant blood level; fear of addiction should not be a factor in appropriately using analgesics to assist patients with pain relief.
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A child has had a closure device inserted in interventional radiology for an atrial septal defect (ASD). Two hours later the child is pale, tachycardic, and hypotensive. Which action by the nurse takes priority?
A. Administer a beta blocker to slow the heart rate down. B. Document findings then notify the health-care provider. C. Increase the rate of the IV fluid administration. D. Prepare the child to return to interventional radiology.
When providing education to a client on how to read a food label, the nurse should discuss the following parts: (Select all that apply.)
1. The ingredient list. 2. The nutritional facts panel. 3. The distribution company. 4. Any nutritional claims. 5. The amount of food coloring contained in the product.
A client verbalizes to a mental health counselor that his life is meaningless since his wife divorced him and that he no longer wants to live. What nursing diagnosis, resulting from his spiritual distress, would be appropriate?
A) Sexual Dysfunction B) Fear C) Powerlessness D) Risk for Self-Directed Violence
The ‘A' in the PARIHS acronym stands for:
a. Autonomy b. Action c. Audit d. Author