In creating the plan of care for a newly diagnosed breast cancer client, the nurse is concerned about pain control. The client has expressed an interest in relaxation therapy as a complementary pain therapy
The nurse knows that the best time to teach the client is:
1. Immediately following the client's mastectomy
2. Before giving pain medication to evaluate if the complementary therapy works
3. Immediately preceding surgery
4. When the client is comfortable
ANS: 4
For effective relaxation, teach techniques only when the client is not distracted by acute discom-fort. The nurse would want to teach the client before the surgery so that the client could practice the technique before experiencing postsurgical pain.
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The patient calls the clinic nurse and says, "I looked this medication up on the Internet after it was prescribed yesterday and there is nothing in the literature about this drug being used to treat my disorder
Should I still take it?" What is the nurse's best response? A) "No, stop taking it immediately until I can consult with the doctor because it is obvious a mistake was made." B) "Oh, that's okay. Go ahead and take it because the doctor wouldn't order it if he or she didn't think it would be effective." C) "It is quite common for drugs to be found to have positive effects for a condition not originally intended so it is safe to take." D) "Let me talk with the physician about why this medication was ordered for you and I will call you back."
An older patient has been treated for three incidents of respiratory infection within 6 months. The patient complains of shortness of breath when walking outside in the cold weather. What should the nurse recommend to this patient?
A) Drink plenty of water B) Avoid going outdoors C) Call the physician for antibiotics D) Increase the use of bronchial medications
An 18-month-old child develops an urticarial reaction after a transfusion. The prescriber orders intravenous promethazine [Phenergan]. What will the nurse do?
a. Give the medication as ordered. b. Monitor the child for bronchoconstriction. c. Question the order. d. Request an order to give the drug orally.
Red blood cells only live about _____ days
a. 30 b. 90 c. 100 d. 120