The nurse consults with the primary physician of a client who is experiencing continuous, severe pain. In planning for the client's treatment, the nurse is aware of the principles of pain manage-ment
Which of the following is it appropriate for the nurse to expect treatment to include? a. Focusing on intramuscular administration of analgesics
b. Waiting for pain to become more intense before administering opioids
c. Administering opioid with non-opioid analgesics for severe pain experiences
d. Administering large doses of opioids initially to clients who have not taken the medications before
C
To treat a client who is experiencing continuous severe pain, the nurse should expect the client to receive opioid and non-opioid analgesics for severe pain experiences.
Intramuscular administration of analgesics is not expected because the injection itself is painful, and inconsistent and erratic absorption of the drug may occur. Intramuscular analgesics should be avoided.
The nurse should administer opioids before the client's pain becomes intense. It is easier to maintain pain control than it is to get intense pain under control.
Large doses of opioids are not given initially to clients who have not taken the medications be-fore because they may cause respiratory depression. The expectation is to begin with lower doses and titrate upward.
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Basic human needs are identified as:
a. Autonomy and valued by others. b. Exhilarated and productive. c. Spiritual. d. Career success and material rewards.
The pediatric nurse is assessing a child with nasopharyngitis. The parents ask about the possibility of the child getting an antibiotic. Which of the following is the nurse's best answer?
a. "We need to be careful about starting antibiotics in children because we are creating more antibiotic-resistant organisms." b. "There is no need to buy expensive antibiotics because we have other treatments that are less expensive." c. "Antibiotics are not effective in the treatment of nasopharyngitis." d. "There is a risk of your child being allergic to the antibiotic."
The primary safety issue related to the presence of a taste deficit in a young child is there will most likely be:
1. Little incentive to hydrate 2. No social connection to food 3. Limited food experimentation 4. Little discretion for ill-tasting substances
The nurse observes that a seriously ill child passively accepts all painful procedures. The nurse should recognize that this is most likely an indication that the child is experiencing a:
a. sense of hopefulness. b. sense of chronic sorrow. c. belief that procedures are a deserved punishment. d. belief that procedures are an important part of care.