The nurse is determining a pain management plan for a patient with chronic pain. What should the nurse identify as the best analgesic schedule for this patient?
a. Prn
b. Qid
c. Around the clock
d. Only when pain is severe, to prevent tolerance
ANS: C
Around-the-clock pain management prevents pain. A. B. D. Any other schedule allows pain to recur between doses, and pain can get out of control and more difficult to manage.
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Nursing assessment by the critical care nurse involves assessing not only the patient but also the family's coping skills
A) True B) False
A client with a thought disorder is to be discharged home today, 4 days after having severe
decompensation related to medication noncompliance. The client's medication was restarted, and the client's thought processes are now noted to be more logical and less interrupted by hallucinations. When the client's husband comes to pick her up, he becomes upset and tells the nurse "She shouldn't come home so soon. She's still sick. You must keep her at least a month.". The nurse should a. call the psychiatrist to come to the unit to explain discharge rationale. b. explain that health insurance won't pay for a longer stay for the client. c. explain that the client will continue to improve if she takes medication regularly. d. call security to handle the disturbance and escort the husband off the unit.
The nurse administers intravenous dobutamine (Dobutrex) to a client who has heart failure. Which clinical manifestations indicate that the client's status is improving? (Select all that apply.)
a. Decreased heart rate b. Increased heart rate c. Increased contractility d. Decreased contractility e. Increased respiratory rate
Upon vaginal examination of a 30-year-old woman, the nurse documents the following findings: profuse, thin grayish white vaginal discharge with a "fishy" odor; complaints of pruritus
Based on these findings, the nurse suspects that this woman has: 1. bacterial vaginosis. 2. candidiasis. 3. trichomoniasis. 4. gonorrhea.