The nurse is explaining patient-controlled analgesia to the client scheduled for surgery tomorrow, and explains that the benefits of this method of administering analgesics include which of the following? Standard Text: Select all that apply
1. Clients report greater satisfaction with this method.
2. Clients feel they have greater control over pain relief.
3. Clients eat better.
4. Clients require less medication.
5. Clients require fewer position changes.
1,2,4
Rationale: Studies have shown that patient satisfaction is higher with the use of PCA. The client feels that she has greater control over her pain relief and uses less medication for better pain control. Repositioning is important to prevent postoperative complications regardless of the type of analgesia administration. PCA pumps are not chosen to improve appetite, although that can be an additive effect of improved pain management.
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While making your initial rounds after coming on shift, you find a client thrashing about in bed complaining of a severe headache. The client tells you the pain is behind his right eye, which is red and tearing
What type of headache would you suspect this client of having? A) Migraine B) Tension C) Cluster D) Sinus
A mother who is HIV-positive has given birth to a term female. What plan of care is most appropriate for this infant?
1. Test with an anti-HIV-1 antibody assay at 8 months. 2. Begin prophylactic AZT (Zidovudine) administration. 3. Provide 4–5 large feedings throughout the day. 4. Encourage the mother to breastfeed the child.
The nurse manager has identified physical-assessment skills lacking in a new registered nurse. Using goal-setting theory, which directive would be most effective in enhancing the nurse's assessment skills?
1. "Plan to study one body system each week, and demonstrate your assessment skills to me each week." 2. "Get someone to help you with your health-assessment skills by the end of the month." 3. "Read a health-assessment book and practice your skills, or else you might lose your job." 4. "You need to work on your health-assessment skills before your next employee evaluation."
The nurse is presenting a prenatal class for couples beginning prenatal care. What information is most important for the nurse to include?
1. You can have a certified nurse–midwife or a physician for your provider. 2. You can give birth in either of two different types of rooms, each with different equipment. 3. The birthing unit was remodeled and redecorated last year. 4. Some of the providers recommend circumcision for baby boys.