Which client would the nurse suggest should try subcutaneous opioid analgesia for pain management?
a. Client who has had a surgical procedure
b. Client with back pain who likes to walk
c. Client with cancer who is nauseous
d. Client experiencing acute chest pain
C
Subcutaneous opioid analgesia is recommended for cancer clients who cannot take anything by mouth. It is not recommended for acute pain, such as pain from a surgical procedure, because subcutaneous boluses have slower onset and a lower peak effect than IV boluses. It also requires the use of an ambulatory infusion pump, which may not always be acceptable to someone who is physically active.
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A nurse is caring for a client receiving methenamine as outpatient treatment for chronic bacterial UTIs. Which instruction should the nurse include in the teaching plan for the client about the administration of the drug?
A) Avoid prolonged exposure to sunlight. B) Increase the intake of milk products. C) Avoid an excessive intake of citrus fruits. D) Take the drug preferably with food.
The nurse is preparing the morning medications for a patient with gastroesophageal reflux disease (GERD). Which nursing intervention would be appropriate for this patient's medications?
1. Hold the antacids for at least 2 hours after oral medications are taken. 2. Provide all prescribed medications at 1000. 3. Provide the antacids first, then follow with the oral medications. 4. Provide the antacids only at the hour of sleep.
Under the F section of the assessment process, in addition to full vital signs, the family is considered as a part of the treatment process. Which approach to the family would be most appropriate for the nurse to use?
1. The family gets in the way of acute care management so the nurse should offer no support until the patient is stable. 2. Ethically the family has a right to support the patient by being at the bedside during acute care management, including trauma resuscitation. 3. Depending on the family's awareness of health care management, they have the privilege to watch the care if they do not get in the way of the care. 4. Because the care during trauma management can be too graphic for family to witness, the family should not be allowed at the bedside.
A senior student nurse visited a new family to help them adapt to the needs of their newborn infant. The family asked the nurse to help them obtain diapers, formula, and transportation to the clinic. How should the student nurse respond?
A. "I can't believe you even asked me that. I'm a college student. I don't have any money!" B. "I can't help with those items, but I can share with you some other resources that may help you adapt to having this new little person in your lives." C. "I'll ask at the home office and see if someone knows a resource for you." D. "My sister has some cloth diapers she isn't using anymore; I can bring those over, but I don't have any formula. Have you tried asking the hospital for free samples?"