The nurse is caring for a postpartum woman who is refusing opioid analgesics but is rating her pain as a 7 or 8 on a 10-point pain scale. The nurse will contact the provider to request an order for which analgesic medication?
a. Diclofenac sodium (Voltaren)
b. Ketoprofen (Orudis)
c. Ketorolac (Toradol)
d. Naproxyn (Naprosyn)
ANS: C
Ketorolac is the first injectable NSAID and has shown analgesic efficacy equal or superior to that of opioid analgesics. The other NSAIDs listed are not used for postoperative pain.
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Homeostasis of the hydrogen ion concentration in body fluids depends on the ratio of carbonic acid to bicarbonate in the extracellular fluid, which is:
a. 1:5. b. 1:10. c. 1:15. d. 1:20.
What anxiety disorder to you think this young woman has?
A 24-year-old secretary comes to your clinic, complaining of difficulty sleeping, severe nightmares, and irritability. She states it all began 6 months ago when she went to a fast food restaurant at midnight. While she was waiting in her car a man entered through the passenger door and put a gun to her head. He had her drive to a remote area, where he took her money and threatened to kill her. When the gun jammed he panicked and ran off. Ever since this occurred the patient has been having these symptoms. She states she jumps at every noise and refuses to drive at night. She states her anxiety has had such a marked influence on her job performance she is afraid she will be fired. She denies any recent illnesses or injuries. Her past medical history is unremarkable. On examination you find a nervous woman appearing her stated age. Her physical examination is unremarkable. You recommend medication and counseling. A) Specific phobia B) Acute stress disorder C) Post-traumatic stress disorder D) Generalized anxiety disorder
The client at 24 weeks' gestation is experiencing painless vaginal bleeding after intercourse. The physician has ordered a transvaginal ultrasound examination
Which of the following statements made by the client indicates an understanding of why this exam has been requested? "This ultrasound: (Select all that apply.) A. Will show what gender the baby is." B. Might cause a miscarriage of my baby." C. Carries a risk of creating a uterine infection." D. Can determine the location of my placenta." E. May detect if the placenta is detaching prematurely."
The nurse assigned to work with a child who has simple partial seizures (also called focal seizures) will most expect to find that this child has which of the following signs and symptoms before, during, or immediately after a simple partial seizure
? a. an aura b. loss of consciousness for several minutes c. alterations in sensory perception d. movements involving both sides of the body