A hospice nurse reevaluates the pain management plan for a client who requires more than
a. four rescue doses in a 24-hour period.
b. one rescue dose in a 48-hour period.
c. three rescue doses in a 48-hour period.
d. two rescue doses in a 24-hour period.
A
As a rule, a client who requires more than four rescue doses during a 24-hour period or is awa-kened from sleep experiencing pain should be reevaluated.
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The nurse is providing teaching for the mother of an infant who receives all of his nutrition through a tube. The nurse is reviewing interventions to promote growth and development
Which of the following responses from the mother indicates a need for further teaching? A) "I will give him a pacifier during feeding time." B) "We need to keep feeding time very quiet." C) "We need to make sure he doesn't lose the desire to eat by mouth." D) "Sucking produces saliva, which aids in digestion."
Which of the following statements best describes electrolytes in extracellular and intracellular fluid?
1. There is a greater concentration of sodium in extracellular fluid and a greater concentration of potassium in intracellular fluid. 2. There is equal movement of sodium and potassium between intracellular and extracellular fluids. 3. There is a greater concentration of potassium in extracellular fluid and a greater concentration of sodium in intracellular fluid. 4. There is an equal concentration of sodium and potassium in intracellular and extracellular fluids.
In a postoperative assessment of a patient who has had knee replacement surgery, the nurse notes that the patient is experiencing moderate knee pain and somewhat slurred speech
The nurse appropriately 1. Checks the patient's chart to determine whether her slurred speech can be attributed to her postoperative medications and, if not, summons her doctor to determine whether she is having postoperative complications. 2. Asks the doctor to adjust the patient's pain medications to relieve the pain and prevent any further slurring of speech. 3. Asks the patient to let the nurse know if the pain or the slurred speech gets worse, then reassesses the patient's symptoms in 4 hours. 4. Calls the patient's doctor immediately because she may be suffering a stroke because of a blood clot that traveled from her legs postoperatively.
MC The community health nurse lives in an area that is at great risk for hurricanes. The nurse is advocating for stricter building codes and for barriers such as sea walls or dams. What type of prevention does this best describe?
A. Tertiary B. Advocacy C. Primary D. Secondary