The patient reports pain after surgery, ranking it 6 on a scale of 1 to 10 . She tells the nurse, "I don't want to be all doped up. My family is coming to visit and I want to be alert enough to visit with them
" Which of the following medications would likely be most effective for postoperative pain relief without excessive sedation?
a. Fentanyl IV
b. Morphine IV
c. Ibuprofen PO
d. Hydrocodone PO
C
Ibuprofen is a nonsedating analgesic. This would be the best choice but the nurse should instruct the patient to call if the pain is not tolerable because a stronger analgesic may be needed. If the patient desires to be alert, an opioid analgesic would not be the best choice because it produces drowsiness. Hydrocodone and fentanyl are opioid agonists and, based on the patient's request to be alert, would not be the best choice.
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The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example of a first-level priority problem?
a. Patient with postoperative pain b. Newly diagnosed patient with diabetes who needs diabetic teaching c. Individual with a small laceration on the sole of the foot d. Individual with shortness of breath and respiratory distress
The nurse is caring for an adult patient receiving a prescription for an anthelmintic drug. What is a possible nursing diagnosis for this patient?
A) Constipation B) Disturbed body image C) Acute confusion D) Imbalanced nutrition: More than body requirements
When assessing a patient's abdomen, the nurse recognizes the importance of reserving palpation as the last technique. What rationale would the nurse provide for this sequence?
1. Early palpation may result in rebound pain. 2. The technique is likely to increase the patient's level of anxiety. 3. Most patients do not like being touched. 4. The pressure of palpation can interfere with hearing bowel sounds.
The patient reports frequent nosebleeds and petechiae. These findings suggest a deficiency in
a. Vitamin A c. Vitamin C b. Vitamin B d. Vitamin K