A 1-day-postoperative client has both morphine sulfate (MS) and meperidine (Demerol) prescribed for pain. Upon which assessment would the nurse decide to give the meperidine rather than the morphine sulfate?
a. Pain has increased from a 2/10 to a 6/10
b. B/P 110/58, pulse 62 BPM
c. Temperature 99.2°F, respirations 10/min
d. Awake, alert, and oriented ? 3
C
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A nurse develops a plan of care to meet the needs of a patient who has had a large loss of blood after a snowmobile crash. The interventions include administering and monitoring the patient's physiologic response to intravenous fluids and blood
What has the nurse focused care on? A) a medical diagnosis C) a collaborative problem B) a nursing diagnosis D) a goal for care
A home care nurse is caring for a quadriplegic client who needs regular position changes and back massages. A gentleman identifying himself as a family friend inquires if he can be of any help to the family. What should be the nurse's response be?
A) The nurse should ask the gentleman to talk to the family directly. B) The nurse should invite the gentleman to learn the caring techniques. C) The nurse should state that the family does not need any help. D) The nurse should refer the gentleman to the local social worker.
Which of the following is an accurate guideline for patient teaching regarding the use of a DPI?
A) Instruct the patient not to inhale into the mouthpiece. B) Instruct the patient that if mist can be seen from the mouth or nose, the DPI is being used incorrectly. C) Remind the patient that it is not necessary to count doses because a DPI has dosage counters. D) Instruct the patient to breathe in slowly with shallow breaths, over 2 to 3 seconds.
The nurse at the community clinic wants to know what clients perceive as their most important education needs. In order to get this information, the best approach of data collection would be a(n)
A) windshield survey. B) informant interview. C) simple constructed survey. D) participant observation interaction.