You are the nurse caring for a client who has chronic pain due to a neurological disorder. An appropriate assessment using a holistic nursing approach is to determine:
a. if the pain medication is helping
b. the meaning of the illness to the client
c. the correct amount of medication to use
d. how long the client has been ill
B
The first thing to be determined in a holistic nursing approach is what the illness means to the client. In some cases, there is no medical solution that completely eliminates the chronic pain a client may be suffering from. Therefore, by understanding what the pain means to the client, the nurse can have a greater understanding on how the pain influences how the client leads his or her life. The nurse can then use this information to develop a treatment plan.
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A patient has been admitted to the hospital with burns to the upper chest. The nurse notes singed nasal hairs. The nurse needs to assess this patient frequently for which condition?
a. Decreased activity b. Bradycardia c. Respiratory complications d. Hypertension
An older patient admitted with chest pain is prescribed Restoril 15 mg at bedtime. The usual dosage given to adults is 30 mg. What intervention would the nurse use for this patient?
1. Administer the drug as ordered. 2. Monitor the patient's renal function. 3. Ask the physician to change the dosage to 30 mg. 4. Give the drug and contact the doctor for a second dose if the patient does not fall asleep.
The nurse referring a child to home care discusses the advantages and disadvantages with the child's family. Which of the following are disadvantages of this method of health care? Select all answers that apply
A) The nurse is performing care of the child in the family's home. B) The home care nurse is not always equipped to perform technical care. C) The out-of-pocket cost of home care is more expensive. D) The technical procedures may be overwhelming for the family. E) The financial burden may cause more stress for the family. F) The child does not receive continuity of care provided in the hospital setting.
A patient with type I diabetes mellitus has urine that is cloudy and foul-smelling. Which diagnostic test should the nurse anticipate being prescribed for this patient?
1. urine culture 2. blood urea nitrogen (BUN) 3. creatinine clearance 4. residual urine