A client diagnosed with a terminal illness is receiving an opioid/acetaminophen combination for pain control. The nurse realizes this client is being managed at which step of the World Health Organization approach to pain management?

1. Step 1
2. Step 2
3. Step 3
4. Step 4


2
The World Health Organization approach to pain management involves three steps. Step 1: Clients are treated with around-the-clock doses of nonopioids. Step 2: The use of opioid/acetaminophen combinations are used to treat mild to moderate pain. Step 3: Strong opioids are used. There is no Step 4 in the World Health Organization's approach to pain management.

Nursing

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A nurse cares for a client with congestive heart failure who has a regular cardiac rhythm of 128 beats/min. For which physiologic alterations should the nurse assess? (Select all that apply.)

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a. Normal saline b. Lactated Ringer c. Acetic acid d. Dakin e. Lysol

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1. ________ Reorganization 2. ________ Disequilibrium 3. ________ Disorganization and despair 4. ________ Numbness/protest

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You are developing a plan of care for a client with a diagnosis of binge eating. What would be an appropriate outcome for this client?

A) Discusses present health problem with no one B) Exhibits no self-destructive behaviors C) Identifies ways to maintain the current means of weight control D) Discusses the unimportance of appropriate eating pattern

Nursing