The laboring client has rated her pain at 9 on a scale of 1–10, and requests IV pain medication. Which statement is most important for the nurse to make? "Narcotic medications:
1. "May make you unsteady. You need to ask for help when you get up."
2. "Have a very rapid onset, and begin to work in 2–3 minutes."
3. "Are metabolized by your body, so they don't last as long as an epidural."
4. "May cause sleepiness in the baby that can be reversed with Narcan."
1
Rationale:
1. Being unsteady when getting up is a common side effect of narcotic medications, and a safety issue; to prevent falls, it is important that clients receiving IV narcotics ask for assistance when they are getting up.
2. Although this is a true statement, safety and fall prevention are more important.
3. Although this is a true statement, safety and fall prevention are more important.
4. Although this is a true statement, safety and fall prevention are more important. The client might not know that respiratory depression can occur, or understand what "reversal" is. This is technical information that the client has not asked for.
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The nurse runs into a co-worker whose family friend is a patient on the unit. The co-worker asks about the friend's health problems. Which is the correct response by the nurse?
a. "Your friend told us to say nothing.". b. "Why don't you ask your friend now?" c. "You know I can't talk about the pa-tients.". d. "Well, it was really a very difficult sur-gery.".
What must the nurse recognize when trying to understand the concept of "truth"?
a. Truth is always supported by facts. b. Hypothetical-deductive reasoning and quantitative research are the only ways to arrive at truth. c. Spirituality cannot be proven, so it is not truth. d. Truth is a relative concept.
The primary factor that differentiates somatization disorders from conversion disorders is what?
A) Somatization disorders usually affect the cardiac system, whereas conversion disorders do not. B) Conversion disorders are always targeted at the respiratory system. C) Somatization disorders are conscious, whereas conversion disorders are unconscious. D) Somatization disorders affect multiple organ systems, whereas conversion disorders usually involve only one system.
Why is Metformin contraindicated for 2 days prior to and 2 days after receiving IV radiographic contrast?
A. contrast medium may cause hepatic failure B. metformin may cause renal failure C. it can result in lactic acidosis