On the first day after surgery, a client receiving an analgesic via PCA pump reports that the pain control is inadequate. What is the first action you should take?
a) Deliver the bolus dose per standing order.
b) Contact the physician to increase the dose.
c) Try nonpharmacologic comfort measures.
d) Assess the pain for location, quality, and intensity.
Answer: d) Assess the pain for location, quality, and intensity.
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The nurse is caring for a client at 30 weeks' gestation who is experiencing preterm premature rupture of membranes (PPROM). Which statement indicates that the client needs additional teaching? "If I:
1. "Were having a singleton pregnancy instead of twins, my membranes would probably not have ruptured." 2. "Develop a urinary tract infection in my next pregnancy, I might rupture membranes early again." 3. "Want to become pregnant again, I will have to plan on being on bedrest for the whole pregnancy." 4. "Have bleeding in the third trimester of my next pregnancy, I might rupture membranes again."
Which portion of the interview determines how well the client can perform activities of daily living (ADLs)?
A) Cultural history B) Functional assessment C) Chief complaint D) Psychosocial history
A maternal indication for the use of vacuum extraction is
a. A wide pelvic outlet b. Maternal exhaustion c. A history of rapid deliveries d. Failure to progress past 0 station
The nurse in the emergency department frequently sees clients who have overdosed on acetaminophen (Tylenol). Which client is at highest risk for developing hemolysis?
1. A Native American client 2. A Jewish client 3. An African American client 4. A Caucasian client