A nurse who provides care for a diverse patient population on a busy medical unit has had significant success with the use of ice and heat in the management of patients' pain
The nurse should exercise particular caution when applying cold therapy or heat therapy to a patient who:
A) Is unable to communicate or has a cognitive or sensory deficit
B) Is simultaneously using a patient-controlled analgesic (PCA) pump
C) Consistently rates his or her pain at 8 out of 10 or higher
D) Has pain unrelated to observable tissue damage
A
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A patient is scheduled for radiation implants. Which client statement indicates that additional teaching about the implants is necessary?
1. "I will spend some time with my grandson and my daughter, who is expecting again." 2. "I need to take good care of the skin around the radiation implant." 3. "I might feel unusually fatigued." 4. "I might have nausea and vomiting."
A client receiving adalimumab asks the nurse how this drug works to treat her RA. The nurse's response is based on knowledge that biologic response modifiers, the newest of the DMARDs:
a. bind with tumor necrosis factor to block normal inflammatory and immune responses. b. increase the level of TNF to prevent inflammation without altering the body's immune responses. c. block prostaglandins in the joints to decrease inflammation and pain. d. inhibit antibody production as well as the release of enzymes from phagocytizing leukocytes.
Monitoring for a patient taking iron to treat iron deficiency anemia is:
1. Hemoglobin, hematocrit, and ferritin 4 weeks after treatment is started 2. Complete blood count every 4 weeks throughout treatment 3. Annual complete blood count 4. Reticulocyte count in 4 weeks
The client is scheduled to be treated with Oxytocin by nasal spray. The nurse plans to administer the drug:
a. 2 to 3 minutes after the client nurses her baby. b. 2 to 3 minutes before the client nurses her baby. c. after delivery of the placenta. d. as delivery of the placenta is imminent.