An adult male patient is 1 day postoperative from a total hip replacement. On a pain scale of 0 to 10, with 10 being the greatest pain, the patient reports a pain level of 10
Which medication would be most appropriate for the nurse to administer to this patient? a. 60 mg morphine sulfate PO
b. 75 mg meperidine [Demerol] intramuscu-larly
c. 6 mg morphine sulfate intravenously
d. Fentanyl [Duragesic] patch 50 mcg trans-dermally
C
The intravenous route is the fastest route of absorption and the one most appropriate for a patient in extreme pain. With the oral route, the medication would take at least 45 minutes to be effec-tive, too long for a patient in extreme pain. With the intramuscular route, the medication would take at least 15 minutes to be effective; although faster than the oral route, this is not as fast as the intravenous route. A Duragesic patch would be the most inappropriate route because of the long drug half-life. This is a more appropriate route for long-term use.
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The nursing diagnosis Rape-trauma syndrome is established for a rape victim in the emergency department. Select the most important outcome to achieve before discharging the patient
a. The patient will describe feelings of safety and relaxation. b. The memory of the rape will be less vivid and less frightening. c. Physical symptoms of pain and discomfort are no longer present. d. The patient will agree to keep a follow-up appointment with a rape victim advocate.
A nurse preceptor asks a new graduate nurse to identify the different types of mastectomy surgeries. Which response by the new graduate would indicate that further clarification is needed? Select all that apply
a. Simple d. Modified radical b. Radical e. Cross-sectional c. Modified Simple f. Subcutaneous
The pregnant teen who was prescribed prenatal vitamins at her initial prenatal visit states that she does not like to take them
How should the nurse respond? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "Folic acid has been found to be essential for minimizing the risk of neural tube defects." 2. "You do not have to take these supplements if you think you are healthy enough." 3. "These medications do the same thing. I will call your doctor to cancel one of your medications." 4. "You can trust your doctor to know what you need." 5. "You need the supplements because your dietary intake may not be adequate for fetal development."
Which of the following surgical clients will return to activities in their everyday lives more quickly?
A) Vaginal hysterectomy B) Laparoscopic cholecystectomy C) Right nephrectomy D) Open-heart surgery