The nurse recognizes that which patient is likely to benefit most from patient-controlled analgesia?
a. 21-year-old with a C4 fracture and quadriplegia
b. 45-year-old with femur fracture and closed head injury
c. 59-year-old postoperative elective bariatric surgery
d. 70-year-old postoperative cardiac surgery; mild dementia
C
The patient undergoing bariatric surgery (an elective procedure) is the best candidate for PCA. The quadriplegic would be unable to operate the PCA pump. The cardiac surgery patient with mild dementia may not understand how to operate the pump. Likewise, the patient with the closed head injury may not be cognitively intact.
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A child in the family practice clinic reports that "my ear itches." On otoscopic exam, the ear canal is swollen, red, and full of debris. Which instruction does the nurse anticipate giving the parent?
A. Clean the ear canals occasionally with a cotton swab. B. Dry the ear canals with a hair dryer set on low heat. C. Give the full course of antibiotics even if the child is better. D. Your child should not be allowed to swim in the future.
Nurses should be aware that chronic hypertension:
1. is defined as hypertension that begins during pregnancy and lasts for the duration of pregnancy. 2. is considered severe when the BP systolic is greater than 140 or the diastolic is greater than 90. 3. is general hypertension plus proteinuria. 4. can occur independently or simultaneously with gestational hypertension.
What is the correct ranking of the top four rural health priorities according to the Healthy People goals?
1. Access to quality health care 2. Heart disease 3. Diabetes 4. Mental health and mental disorders A) 1, 2, 3, 4 B) 2, 1, 4, 3 C) 3, 4, 2, 1 D) 4, 3, 1, 2
A patient is receiving rapid infusion of hypertonic sodium chloride solution. To determine if too much fluid is being infused too rapidly, the nurse will frequently assess the patient for:
1. increased urine output. 2. requests for high-sodium PO fluids. 3. pulmonary edema. 4. hypotonic volume contraction.