An older patient who was recently admitted to the subacute setting after having a knee replacement, is very anxious and refuses to get out of bed, stating that it is too painful. Which intervention will the nurse implement?
a. Share with the patient that it's important to get out of bed and that there is pain medication available if it does hurt
b. Use the Hoyer lift to get her out of bed so that the knee will not experience much move-ment and so there will be little pain.
c. Offer pain medication, administer the medication, and wait 20 minutes before getting her out of bed.
d. Allow the patient to remain in bed but share that getting up will be required at least twice a day starting the next morning.
ANS: C
Administration of an as-needed analgesic 20 to 30 minutes before activity may eliminate discomfort and fear of discomfort, and may enhance the individual's capacity for the activity. It is not true that performing an activity quickly will lessen the pain or that the patient will get used to the pain. A Hoyer lift is only indicated when an individual is completely immobile. Activity is an important part of rehabilitation.
You might also like to view...
The nurse makes the following entry on the patient's care plan: "Goal not met. Patient refuses to walk and states, 'I'm afraid of falling.'" The nurse should:
a. ignore the patient's concern in evaluating goal attainment. b. document the patient's unwillingness to continue the plan of care. c. continue the plan of care as originally agreed upon. d. modify the care plan in response to the patient's condition and wishes.
The patient is concerned about his doctor and what the doctor has prescribed. The nurse making rounds notices the patient sitting on the side of the bed in deep thought
The nurse comes into the room and the patient begins to tell her his concerns about a new order. The nurse advises the patient, "If I were you, I would find another doctor." How does this statement by the nurse block communication (select all that apply)? A. It tells the patient that his concerns are not valid. B. It gives the idea that the nurse's values are the correct ones. C. It puts words in the patient's mouth. D. It hurts the nurse's credibility if the solution doesn't help the patient. E. It discourages yes or no answers. F. It inhibits the patient from telling you what his concerns are.
An older adult patient with osteoporosis is at risk for falls. What should a nurse advise the patient to do in order to maintain safety in the home?
a. Take the rubber mat out of the shower. b. Install a grab rail in the bath and shower and by the toilet. c. Avoid rubber-soled shoes. d. Avoid exercise.
A 14-year-old girl is brought to the clinic by her mother. Her mother tells the nurse that on "several" occasions, she has found her daughter during the night eating things like a whole pizza or a carton of ice cream
The nurse asks the girl about this behavior and the girl begins to cry. The nurse knows that this behavior is a symptom of what? A) Anorexia nervosa, restricting subtype B) Anorexia nervosa, binge eating/purging subtype C) Bulimia nervosa D) Type I diabetes mellitus