The patient reports pain after surgery, ranking it 6 on a scale of 1 to 10. She tells the nurse, "I don't want to be all doped up. My family is coming to visit and I want to be alert enough to visit with them."
Which of the following medications would likely be most effective for postoperative pain relief without excessive sedation?
a. Fentanyl IV
b. Morphine IV
c. Ibuprofen PO
d. Hydrocodone PO
ANS: C
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A nurse assesses a 4-month-old infant and notes the baby does not follow a moving object with her eyes. What action by the nurse is best?
a. Document the findings and continue the assessment. b. Refer the child and parent to a pediatric neurologist. c. Assess the child for other age-appropriate behaviors. d. Assess the child for signs of child abuse or neglect.
For the client to be discharged from acute hospital care to clinical case management at home, care
planning should be predicated on evidence that best outcomes will be produced by a. weekly follow-up for 6 weeks, then every 2 weeks. b. monthly follow-up for 6 months to 1 year. c. no follow-up for 3 months, then quarterly visits. d. referral to the assertive treatment team for daily contact.
Clients with obsessive-compulsive disorder (OCD) may be concerned about which of the following signs and symptoms?
A) Fear of situations in which they may capture the attention of others B) Delayed anxiety response C) Psychic numbing D) Performing ritualistic behaviors
After having a right total mastectomy, the patient confides that her husband has voiced his concern about her "disfigurement." The nurse's most therapeutic response would be:
a. "What a jerk he must be!" b. "Many husbands feel that way." c. "I wouldn't worry. He will adjust." d. "What was your reaction to his state-ment?"