What statement by the client indicates her understanding of treatment for pain related to Guillain-Barré syndrome?
A. "I can use the button on the pump as often as I want to get more pain medica-tion."
B. "Aspirin will help me when I have pain from this disease."
C. "A combination of morphine and distraction seems to help bring me relief right now."
D. "I should not have any pain as a result of impaired motor movement while acutely ill."
C
Typical pain from GBS is often not relieved by medication other than opiates and distraction, repositioning, massage, heat, cold, and guided imagery may enhance the opiate effects.
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A bruit, or blowing sound, over the skull or temporal region of an adult indicates a:
a. degenerative change. b. hyperthyroid storm. c. skull fracture. d. vascular anomaly.
Which of the following B vitamins is stored to the greatest extent in the body?
1. Thiamin 2. Riboflavin 3. Vitamin B12 4. Folic acid
The home care nurse is examining a 3-day-old infant. The child's skin on the sternum is yellow when blanched with a finger. The parents ask the nurse why jaundice occurs. The best response from the nurse is:
1. "The liver of an infant is not fully mature, and doesn't conjugate the bilirubin for excretion." 2. "The infant received too many red blood cells after delivery because the cord was not clamped immediately." 3. "The yellow color of your baby's skin indicates that you are breastfeeding too often." 4. "This is an abnormal finding related to your baby's bowels' not excreting bilirubin as they should."
What is the primary reason why every step of an intervention is planned before the intervention is implemented?
a. It is required by the nursing process procedure. b. It is the way in which agencies expect to see performance by the nurse. c. It saves time, and the implementation process goes more smoothly. d. It allows the nurse to remember what was going to be done.