Which of the following statements is true about acute pain?
1. Somatic pain comes from body surfaces and is only sharp and well-localized.
2. Visceral pain comes from the internal organs and is most responsive to acetaminophen and opiates.
3. Referred pain is present in a distant site for the pain source and is based on activation of the same spinal segment as the actual pain site.
4. Acute neuropathic pain is caused by lack of blood supply to the nerves in a given area.
3
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Explanation: 1. Polypharmacy is a major factor in hospital readmission rates due to unnecessary adverse events. The nurse teaches ways in which the client can avoid readmission to the hospital, including how to take medications as prescribed. 2. There is not enough information to determine if the client is prone to missing medication doses. The nurse does suggest ways in which the client can
keep the medications and doses on a regular schedule, such as using a pill planner. 3. Although the client may have multiple conditions that warrant the medications prescribed, it is the job of each provider to obtain a thorough history. Additionally, pharmacists should alert the client and provider to any interaction potentials. 4. Cognitive impairments do occur when clients are on numerous medications. The nurse ensures the client understands their medication regimen and side effect management. 1. Dexamethasone 2. Ketorolac 3. Fluconazole 4. Phenobarbital 5. Atenolol
Expected outcome should be written following which five step guideline?
a. Specific, medications, availability, response, time b. Selective, measureable, availability, reasonable, treatment c. Measurable, achievable, reasonable, time, selective d. Selective, medications, achievable, response, treatment
The ethical decision-making process is being used for a patient regarding the use of life support measures. What action should the nurse take as the final step in this decision-making process?
a. Evaluate the outcomes. b. Implement the decision. c. Clarify the values of all the participants. d. Determine which action has the strongest ethical support.
A patient in the emergency department is complaining of fever, burning with urination, bloody urine, and amenorrhea for 1 month. To evaluate her symptoms, what action by the nurse is best?
A. Ask the woman if her menstrual periods are usually regular. B. Collect a urine sample for a pregnancy test. C. Instruct her in obtaining a midstream urine sample. D. Obtain an order for an intravenous pyelogram (x-ray of the urinary tract).