Which condition is the best indicator that the older client, who had a hip replacement 24 hours ago, does not need pain medication at this time?
A. The client received pain medication 2 hours ago.
B. The client states that she has no pain.
C. The client is confused.
D. The client is sleeping.
B
Sleeping and confusion are not indicators of pain relief, nor are they contraindications for pain medication. The fact that the client was medicated for pain 2 hours ago does not mean that pain is now relieved.
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The nurse is caring for a pregnant woman who admits to cocaine and ecstasy use on a regular basis
The client states, "Everybody knows that alcohol is bad during pregnancy, but what's the big deal about ecstasy?" The best response by the nurse is: "Ecstasy: 1. "Can cause a high fever in you and therefore cause the baby harm." 2. "Leads to deficiencies of thiamine and folic acid, which help the baby develop." 3. "Produces babies with small heads and short bodies with brain function alterations." 4. "Produces intrauterine growth restriction and meconium aspiration."
When would the nurse recommend that a traveler take an oral antiemetic to prevent motion sickness?
A) When symptoms first begin B) 10 minutes prior to trip C) 30 minutes prior to trip D) 1 day prior to trip
A parish nurse providing a class for parishioners on breast cancer informs the group that the American Cancer Society (ACS) recommends that a baseline mammogram should be obtained by the age of:
A) 25 years B) 33 years C) 40 years D) 45 years
After assessing the data obtained from a pregnant teenager and her family, the nurse assigns the diagnosis of "Family Coping, ineffective related to unanticipated pregnancy." Which of the following goals would be appropriate?
1. The teenager and family will participate in discussions regarding pregnancy. 2. The teenager and family will develop skills for parenting the infant. 3. The teenager and family will develop a trusting relationship with the health care providers. 4. The teenager and family will develop self-care skills for the pregnancy.