The nurse caring for a postsurgical patient obtains an oral temperature reading of 103°F. She contacts the surgeon, obtains an order, and administers acetaminophen 650 mg orally. Which clinical information should the nurse document? Select all that apply
a. Oral temperature reading of 102°F
b. The call to the surgeon to obtain the order
c. Administering acetaminophen 650 mg orally
d. All of the above
ANS: D
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The nurse understands that the following definitions of pain are appropriate to assimilate into one's practice: Standard Text: Select all that apply
1. Pain is whatever the person experiencing it says it is. 2. Clients often exaggerate pain. 3. Pain is one of the body's defense mechanisms indicating that a problem exists. 4. The client is the authority on the pain that she is experiencing. 5. The nurse needs to be willing to believe that the client is experiencing pain.
A child is in the intensive care unit after a motor vehicle collision. The child has numerous fractures and is in pain that is rated 9 or 10 on a 10-point scale. In planning care, the nurse recognizes that the indicated action is which?
a. Give only an opioid analgesic at this time. b. Increase dosage of analgesic until the child is adequately sedated. c. Plan a preventive schedule of pain medication around the clock. d. Give the child a clock and explain when she or he can have pain medications.
The nurse is caring for a newborn with hyaline membrane disease. Which statement is the best explanation of this disorder?
A) The infant's liver is unable to manage the bilirubin produced by hemolysis B) The infant has bleeding into the ventricles of the brain C) The infant's lungs are immature and deficient in surfactant D) The infant has a degenerative disease of the retina
‘Power' refers to:
a. The statistical significance of the findings b. The degree of trustworthiness of the study c. The impact the reported information will have on nursing practice d. If the sample size is sufficient to establish causal relationships