For which reason would the physician not order a narcotic agonist analgesic when a patient has abdominal pain of undetermined origin?

a. A narcotic is too strong to use in undetermined pain.
b. It will make it difficult to diagnose the cause of the pain.
c. Narcotics are very addicting.
d. Undetermined pain will respond better to nonnarcotic medications.


ANS: B
If the patient's condition is caused by a problem in the stomach or abdomen, diagnosis will be difficult if a narcotic agonist analgesic is given.

Nursing

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A patient in a hypertensive emergency is admitted to the ICU. The nurse anticipates that the patient will be treated with IV vasodilators, and that the primary goal of treatment is what?

A) Lower the BP to reduce onset of neurologic symptoms, such as headache and vision changes. B) Decrease the BP to a normal level based on the patient's age. C) Decrease the mean arterial pressure between 20% and 25% in the first hour of treatment. D) Reduce the BP to ? 120/75 mm Hg as quickly as possible.

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The nurse working in the emergency department admits a 2-month-old infant whose mother reports had a temperature of 104.2 °F axillary. Which route would the nurse use to measure the infant's temperature?

1. Tympanically 2. Orally 3. Axillary 4. Rectally

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On the second day of hospitalization, the client is discussing with the nurse concerns about unhealthy family relationships. During the nurse-client interaction, the client changes the subject to a job situation. The nurse responds, "Let's go back to what we were just talking about." What therapeutic communication technique did the nurse use?

A. Reflecting B. Restating C. Focusing D. Summarizing

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While caring for a patient 4 hours after a surgical procedure, the LPN/LVN notes serosanguineous drainage on the patient's dressing. Which statement should the nurse use to document the finding?

a. "Normal drainage noted." b. "Moderate drainage recently noted." c. "Scant serosanguineous drainage seen on dressing." d. "Pale pink drainage, 2 cm by 1 cm, noted on dressing."

Nursing