When inquiring about the degree of pain, the nurse could best support the patient by asking:
a. "Does your stomach hurt now?"
b. "How would you describe your pain?"
c. "When the pain occurs, does the medicine help?"
d. "Do you use more than one pain remedy?"
ANS: B
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Drew is a 17-year-old competitive runner who presents with complaint of pain in his hip that occurred after he fell while running. His only medical problem is severe acne for which he takes isotretinoin (Accutane)
With this history what would you be concerned for? 1. He may have pulled a muscle and needs to rest to recover. 2. He is at risk for bone injuries and needs to be evaluated for fracture. 3. Isotretinoin interacts with ibuprofen which is the pain medication of choice. 4. Teen athletes are at risk for repetitive stress injuries.
A child had an appendectomy and was discharged home at 48 hours postoperative. A week later, the child is readmitted for delayed wound healing
Which causes of delayed wound healing will the nurse review prior to assessing the child? Select all that apply. 1. Infection 2. Predisposing chronic condition, such as diabetes 3. Hypervolemia 4. Inadequate nutrition 5. Hypoxemia
Which of the following is the most frequent side effect produced by antidiarrheal drugs?
A. Constipation B. Renal failure C. Hypertension D. Vomiting
You are working at the local cardiac rehabilitation center and R.M. is walking around the track. He summons you and asks if you could help him understand his recent laboratory report
He admits to being confused by the overwhelming data on the test and does not understand how the results relate to his recent heart attack and need for a stent. You take a moment to locate his laboratory reports and review his history. The findings are as follows. R.M. is an active 61-year-old man who works full time for the postal service. He walks 3 miles every other day and admits he doesn't eat a "perfect diet." He enjoys two or three beers every night, uses stick margarine, eats red meat two or three times per week, and is a self-professed "sweet eater." He has tried to quit smoking and is down to one pack per day. Cardiac history includes a recent inferior myocardial infarction (MI) and a heart catheterization revealing three-vessel disease: in the left anterior descending (LAD) coronary artery, a proximal 60% lesion; in the right coronary artery (RCA), proximal 100% occlusion with thrombus; and a circumflex with 40% to 60% diffuse dilated lesions. A stent was deployed to the RCA and reduced the lesion to 0% residual stenosis. He has had no need for sublingual nitroglycerin (NTG). He was discharged on enteric-coated aspirin 325 mg daily, clopidogrel (Plavix) 75 mg daily, atorvastatin (Lipitor) 10 mg at bedtime, and ramipril (Altace) 10 mg/day. Six weeks after his MI and stent placement, he had a fasting advanced lipid profile with other blood work. Six-Week Postprocedure Laboratory Work (Fasting) Total cholesterol 188 mg/dL HDL 34 mg/dL LDL 98 mg/dL Triglycerides 176 mg/dL Homocysteine 18 mmol/dL High-sensitivity C-reactive protein (hsCRP) 8 mg/dL FBG 99 mg/dL TSH 1.04 mU/L When you start to discuss R.M.'s laboratory values with him, he is pleased about his results. "My cholesterol level is below 200!—and my 'bad cholesterol' is good! That's good news, right?" What would you say to him?