An older patient with a history of severe arthritis has not received pain medication for over 18 hours. The patient is currently complaining of severe pain in both legs
What will the nurse attribute as being the reason for the patient's increase in pain? 1. Dependency on narcotics
2. Over-exaggeration of the amount of pain
3. Need for alternative measures for pain relief
4. Untreated pain resulting in lower pain threshold
4
Rationale: Narcotic dependency in the older adult is unlikely.
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Before administering enteral feeding, the nurse can ensure proper tube placement by
a. asking the client to swallow. b. auscultating the stomach as 10 ml of water is injected. c. extracting stomach contents from the tube. d. holding the end of the tube under water to check for bubbling.
When a patient demonstrates accelerated heart rate, trembling, choking, and chest pain along with acute, intense, and overwhelming anxiety, the nurse should recognize that the patient is most likely experiencing what condition?
a. Terror b. Fright c. Fear d. Panic
The parents of a 9-month-old child who has been diagnosed with coarctation of the aorta are anxious to have the defect repaired quickly. The nurse's best response will be based on the knowledge that:
a. The repair can be done when the child has tripled the birth weight b. The repair will be done in stages over a period of several months c. Repair at such an early age will almost assure recurrence d. Surgical repair is the only option
When a patient experiencing acute depression asks what the difference is between a medical and a nursing diagnosis, the nurse responds best when stating:
a. Actually they are very similar in that they both are concerned with helping you get better and lead a happier life. b. Medical diagnoses are focused on why you are depressed whereas nursing diag-noses are concerned about making your life less sad. c. Nursing diagnoses are more directed at caring for you, unlike medical diagnoses that focus on finding the cause for your problem. d. The medical diagnosis identifies that you are experiencing depression whereas the nursing diagnosis identifies how the depression is affecting you.