A nurse cares for a client who is recovering from a closed percutaneous kidney biopsy. The client states, "My pain has suddenly increased from a 3 to a 10 on a scale of 0 to 10." Which action should the nurse take first?
a. Reposition the client on the operative side.
b. Administer the prescribed opioid analgesic.
c. Assess the pulse rate and blood pressure.
d. Examine the color of the client's urine.
ANS: C
An increase in the intensity of pain after a percutaneous kidney biopsy is a symptom of internal hemorrhage. A change in vital signs can indicate that hemorrhage is occurring. Before other actions, the nurse must assess the client's hemodynamic status.
You might also like to view...
The nurse evaluates a client taking a high daily dose of duloxetine (Cymbalta) for which signs and symptoms? (Select all that apply.)
1. Suicidal ideation 2. Increased libido 3. Liver failure 4. Seizures 5. Hypotension
Ordered: Keflex 0.5 g PO stat. a. What is the generic name of this medication? b. What is the concentration of this medication? c. Write the appropriate conversion formula: How many capsules will you give?
d. Estimated dose: (Move the decimal point to estimate.) e. Verify with a DA-style equation: f. Evaluation:
A patient undergoing surgery is receiving general anesthesia as well as a neuromuscular blocking agent. Which statement best indicates the primary reason for the neuromuscular blocking agent?
1. To potentiate analgesic effects 2. To prevent adverse effects associated with inhaled gases 3. To cause total skeletal muscle relaxation 4. To induce unconsciousness
The process that occurs over time since and denotes "the development of perceptual abilities, the ability to draw on knowledge and skilled know-how, and a way of being and acting in practice and in the world" is known as what process?
a. Socialization b. Formation c. Education d. Interdependence e. Independence