The nurse is admitting a client with a fractured hip. The client points to the painful hip and describes it as a constant throbbing. The nurse would include which of the following when continuing the pain assessment on this client?
1. Intensity, precipitating and relieving factors, impact on ADLs, and coping strategies
2. Intensity, quality, location, and impact on ADLs
3. Intensity, quality, pattern, and precipitating factors
4. Intensity, quality, precipitating and relieving factors, and impact on ADLs
1
Rationale 1: Pain assessment should include data about the location, intensity, quality, pattern, precipitating factors, actions undertaken for relief of pain and effects, impact on ADLs, coping strategies and emotional responses. The description of client in the question already includes the quality, location, and pattern.
Rationale 2: The client has already identified the quality and location of the pain.
Rationale 3: The client has already identified the quality and pattern of the pain.
Rationale 4: The client has already identified the quality of the pain.
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Guanethidine monosulfate 50 mg daily is prescribed. The available supply is 25-mg tablets. How many tablets should be administered? _______ tablets
Fill in the blank(s) with correct word
A serious highway accident on a foggy night involves 22 vehicles. Several of the victims are ambulatory. The emergency personnel determine that their injuries are minor and arrange for transportation home. Why are these victims triaged first?
1. To do the greatest good for the greatest number of people 2. To remove them so they do not see the critically injured victims 3. To secure the site in case the vehicles become overheated and ignite 4. To improve traffic conditions to clear the accident site quickly
The physician has informed the parents that the results of a hemoglobin electrophoresis performed on their child indicate the presence of hemoglobin S. When the parent asks what this means, the nurse explains:
A) "It is indicative of sickle cell disease or trait." B) "It verifies the presence of hemolytic anemia." C) Hemoglobin S is found in people with pernicious anemia." D) "Hemoglobin S is a type of immature red blood cell."
The nurse giving report tells the next nurse where to find an open bottle of sterile normal saline solution for the client's wound irrigation; then, the nurse finds four bottles labeled with the client's name at the bedside
Which bottle should the nurse use for the client's sterile wound ir-rigation? 1. Label has today's date and time. 2. Label reads, "Use this bottle next.". 3. Label has previous nurse's initials. 4. Saline solution bottle has unbroken seal.