The nurse administers an analgesic to a patient with a headache. What is the best way for the nurse to assess the patient's response to the medication?
a. Ask the patient to describe the pain.
b. Observe the patient's behavior.
c. Monitor the patient's blood pressure and pulse.
d. Have the patient rate the pain on a scale of 0 to 10.
ANS: D
A pain rating scale is the most objective measure of the patient's pain. A, B, and C may also be helpful but are not the primary data needed. Blood pressure and pulse may increase with acute pain but not with chronic pain.
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The nurse prepares to admit a client with severe pelvic and leg fractures to the intensive care unit. Which support surface should the nurse prepare for the client?
1. Bariatric bed 2. Rotokinetic bed 3. Flotation mattress 4. Air-fluidized mattress
What is a type of nursing education program that is conducted in junior and community colleges that is nominally 2 years in length?
a. Diploma program b. Baccalaureate program c. Associate degree program d. Professional nursing program
The nurse is caring for a client with sickle cell disease who tells the nurse that she is considering taking large doses of vitamin C because she has read about its ability to enhance wound healing. What is the best response from the nurse?
a. "That should be a very effective way to self-manage your disease process." b. "That is contraindicated because of the type of pain medication that you require." c. "That should encourage wound healing as well as enhance pain management." d. "That is contraindicated because it can lead to sickle cell crisis."
Which of the following treatment approaches has been found to be helpful in assisting a child with a diagnosis of autism to learn and acquire language?
a. intensive, sustained special education programs, and behavior therapy beginning early b. mainstreaming the child with autism with the regular public school classroom c. extensive pet therapy with small animals d. intensive art therapy to promote expression