An older aphasic patient has severe osteoarthritis, bilateral contractures of the lower extremities, and a stage IV pressure ulcer. The nurse practitioner prescribes analgesic medi-cations to be administered around-the-clock, with as-needed doses to be ad
to be administered as appropriate. What observation by the nurse would indicate that the pain regimen is effective? Select all that apply.
a. "Pa-tient slept throughout the night."
b. "Pa-tient winces only when turned and repositioned."
c. "Pa-tient slept during dressing change."
d. "Pa-tient compliant with attempts to provide AM care."
e. "Pa-tient ate 80% of breakfast, 70% of lunch and 100% of dinner"
ANS: A, C, D, E
Pain cues presented by this client is the wincing when being turned, indicating that this in-tervention is pain producing. The remaining observations are concurrent with effective pain management.
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In the Unity Healthcare organization, decisions, including those at the unit level, are made by a group of senior executives. Rules for employees are clear, and nursing care is delineated by pro-cedures and protocols. This exemplifies:
a. Transformational leadership. b. Transactional leadership. c. Bureaucratic organization. d. Chaos theory.
The nurse suspects that a client is experiencing tardive dyskinesia when observing that:
a. the client can't seem to stop moving. b. the client's facial muscles are twisting in-voluntarily. c. the client not able to get up out of a chair. d. the client's hand tremors so much that drinking from a cup is difficult.
The nurse is teaching a group of nursing students about adherence to medication in older adults. Which statement by the student indicates understanding of the teaching?
a. "An inability to pay for medications con-tributes to most intentional nonadherence among older adults." b. "Most issues associated with nonadhe-rence among older adults would be re-solved with simplified drug regimens." c. "Most nonadherence in older adults results in drug toxicity and adverse drug effects." d. "The majority of older patients who do not adhere to drug regimens do so inten-tionally."
The nurse who is delegating care to unlicensed assistive personnel should keep in mind that most of these workers have an educational background consisting of
a. completion of high school. b. less than 1 year of college. c. more than 1 year of college. d. on-the-job experience.