A patient recovering from hernia repair surgery reports pain of 4 on a 0-to-10 scale. The patient's orders include ibuprofen (Motrin) 400 mg orally every 6 hours prn for pain. Which action should the nurse take?
a. Give the ibuprofen as ordered for pain.
b. Consult the physician for a stronger analgesic.
c. Start the ibuprofen on the second postoperative day.
d. Hold the ibuprofen due to risk of GI upset.
ANS: A
Ibuprofen can be effectively used for postoperative pain relief. B. The nurse does not need to consult the physician since the patient's pain level is 4. C. The medication is prescribed ibuprofen which the nurse should provide. D. There is no evidence to suggest that the patient will experience GI upset from the medication.
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A patient who received a kidney transplant 2 years ago has been diagnosed with skin cancer. He tells the nurse that he cannot believe that he has cancer since he has already gone through "so much" with the kidney disease. How should the nurse respond to this patient's statement?
1. "It is unusual for malignancies to develop this long after transplant." 2. "Patients on long-term medications to prevent organ rejection are at risk for developing cancer." 3. "At least this cancer will not affect the transplanted kidney." 4. "Everyone can develop cancer at any time."
A patient suddenly develops right lower-quadrant pain, nausea, vomiting, and rebound tenderness. How should the nurse classify this patient's pain?
a. Acute b. Chronic c. Intractable d. Neuropathic
A client is started on an antidepressant medication. The client calls up a week later to complain that "the new medication isn't working
" The nurse's response to the client is based on the knowledge that the antidepressant effects of antidepressant drugs are often not seen until: a. 1 to 2 hours b. 1 to 2 days c. 1 to 2 weeks d. 1 to 2 months
Which of the following statements best describes the term stocking or glove type burn?
a. The burn has the look of a stocking or glove because the child tried to protect him- or herself from being immersed in hot scalding water. b. The parents have dipped the child into hot liquid while he or she was asleep. c. The child was wearing a stocking or a glove then immersed in hot liquid. d. The parent was wearing heavy gloves or stockings on his or her hands while immersing the child in hot liquids or hot scalding water.