A client has an order for a narcotic analgesic every three to four hours and he received his last dose three hours earlier
Which of the following actions is most appropriate for the nurse to take in response to the client's request for pain medication on his first postoperative day?
A) Provide the client with pain medication
B) Tell the client that the pain cannot be severe
C) Document and ask the client to wait one hour
D) Contact the physician for a change in medication
Ans: A
Inadequate or poor pain assessment is a leading factor in poor pain control, because the health care professional may not know a client has pain. The nurse must provide the next dose of pain medication.
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A highly intoxicated client is brought to the emergency department. Paramedics report that the client was violent during transport and tried to kick the door out of the ambulance
How should the nurse prepare before seeing this client? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Remove any hemostats from the pocket. 2. Take off the stethoscope and place it in the pocket. 3. Ask the paramedics to place the client in leather restraints. 4. Enter the room calmly, with a smile. 5. Give the client 20 minutes or so to calm down before the assessment begins.
A community/public health nurse caring for mental health patients in the late 1990s noticed changes in the services that were available for this population. What led to these changes?
a. Communities began banding together to demand increased funding from the federal budget. b. Psychiatrists were given some power to speak for their patients about services necessary to facilitate their recovery. c. Psychiatric patients and their families organized and became involved in policy development. d. States convinced the federal government that they could not cope with the demands of this population.
The nurse is aware that which of the following clients is at greatest risk for developing medica-tion toxicity?
1. The 16-year-old anorexic 2. The 35-year-old with liver cancer 3. The 45-year-old chronic alcoholic 4. The 73-year-old diagnosed with hepatitis B
A nurse has just moved from a facility that utilized differentiated practice. Which of the following delivery systems would most resemble this system?
1. Case method 2. Shared governance 3. Functional method 4. Team nursing