A patient verbalizes a low pain level of 2 out of 10 but exhibits extreme facial grimacing while moving around in bed. What is the nurse's best action in response to her observation?
a. Proceed to the next patient's room while making rounds.
b. Offer a massage because the patient does not want any more pain medicine.
c. Administer the pain medication ordered for moderate to severe pain.
d. Ask the patient about the facial grimacing with movement.
D
The nurse needs to clarify what she observes with what the patient states. Proceeding to the next room is ignoring this visual cue. The nurse cannot assume the patient does not want pain medicine just because he rates his pain level at 2 out of 10 . The nurse should not administer medication for moderate to severe pain if it is not necessary.
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A female patient asks about using hormone replacement therapy (HRT) for menopausal symptoms but is concerned about the risks. How can the health care provider best guide the patient decision to begin or forego HRT?
A) "The significant increases in the risk of heart disease make HRT a risky treatment that is best avoided.". B) "You won't likely be increasing your risk of heart disease if you begin HRT, but neither will you be preventing.". C) "The overall effectiveness of HRT in alleviating the unwanted changes that following menopause has been disproven.". D) "HRT can best be described as a tradeoff, where menopausal symptoms decrease but there is a significantly increased risk of hip fractures and breast cancer.".
The nurse is aware that cryoablation therapy involves
A) peeling away the area of endocardium responsible for the dysrhythmia. B) using electrical shocks directly to the endocarduim to eliminate the source of dysrhythmia. C) using high-frequency sound waves to eliminate the source of dysrhythmia. D) using a probe cooled to a temperature of -60°C (-76°F) to eliminate the source of dysrhythmia.
The nurse is teaching parents of a 4-year-old child about socialization developmental milestones. What milestones should the nurse include in the teaching session? (Select all that apply.)
a. Very independent b. Has mood swings c. Has better manners d. Eager to do things right e. Tends to be selfish and impatient
The mother of an 8-month-old infant says she can't leave the room because the baby will cry. What should the nurse respond to the mother?
A) "He knows you are in the next room and he is attempting to get your attention." B) "By ignoring his crying you will help him develop patience." C) "It is important for him to be with you, so you should take him with you." D) "If he cannot see you he thinks you are gone and that is frightening."