The surgeon arrives on the unit and removes C.W.'s surgical dressing. There is a small "bleeder" at theedge of the incision, so the surgeon calls for a suture and ties off the bleeder. C.W. is waking up and complaining of pain
You take the opportunity to ask the surgeon about an opioid via a patient-controlled analgesia (PCA) pump for C.W.; she says she will write the orders.
Postoperative pain will be a problem for C.W. after the anesthesia wears off.
How do you plan to address this?
When C.W. is awake enough, get her to rate her pain on a 1-to-10 scale and rate the amount of relief
she receives from the morphine. Teach C.W. that she needs to use the PCA pump to prevent the pain
from becoming too intense. She should administer a dose to herself when the pain is starting to
increase. If the prescribed medication does not work well, you will need to be a patient advocate to
help C.W. get relief.
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Which of the following best describes where the majority of time is spent by a community health nurse?
a. Caring for individuals b. Caring for families c. Caring for groups d. Caring for aggregates
The nurse manages an acute care unit that is beginning to provide care for more and more older adults after surgery. The nurse manager would encourage nurses to add which interventions to the plan of care for these patients?
1. Use of restraints to prevent falls and disruption of invasive lines 2. Early return to ambulation and self-care activities 3. Get patients out of bed to a chair for most of the day 4. Keep patients on bedrest until strength returns
A nurse educator explains to student nurses Fitzpatrick's rhythm model theory. According to this theory, a patient's health
1. Is only a state of mind over matter and is controlled by the patient. 2. Is always changing and fluctuates throughout four wellness quadrants. 3. Defines how well the individual promotes his or her physical well-being. 4. Is the result of the interaction between an individual and the environment.
The nurse is concerned that a patient with a below-the-knee amputation is at risk for delayed healing. What information from the patient's medical history led the nurse to make this clinical decision?
Select all that apply. 1. body mass index 15 2. history of hypokalemia 3. smokes 2 ppd of cigarettes 4. takes vitamin supplements 5. treated for right heart failure