Staff on a burns-and-plastics unit have implemented a new, evidence-based algorithm around pain control prior to debridement and dressing changes that was based on the Health Outcomes Institute's Outcomes Management Model
Analysis of the outcomes following the implementation of the new practice reveals that patient reports of pain during the procedures actually increased slightly compared with preexisting practices. The caregivers should prioritize which of the following?
A) Revisiting phase one of the process
B) Disseminating the results of the process
C) Continuing with data collection over a longer period
D) Reexamining the evidence and chosen practices
D
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A female patient is taking combined hormonal contraceptives to prevent pregnancy. She visits the gynecology clinic and is noted to have a blood pressure of 176/102 mm Hg. The patient is started on enalapril mesylate 10 mg
In collaboration with the primary care provider, what other patient teaching should be provided based on her current medication regimen? A) Instruct on a no-salt diet. B) Instruct to discontinue the contraceptives. C) Instruct on the use of relaxation to decrease stress. D) Instruct on the rationale for increasing contraceptive dose.
When planning interventions for a patient who has Alzheimer's disease, the nurse knows that patients with this disorder:
A. Should be able to remember teaching that was done yesterday. B. Will most likely havememory impairment particularly for recent events. C. Will most likely continue to be able to perform activities of daily living like dressing and grooming. D. The disease often stabilizes at one level.
A patient with ongoing back pain, nausea, and abdominal bloating has been diagnosed with cholecystitis secondary to gallstones. The nurse should anticipate that the patient will undergo what intervention?
A) Laparoscopic cholecystectomy B) Methyl tertiary butyl ether (MTBE) infusion C) Intracorporeal lithotripsy D) Extracorporeal shock wave therapy (ESWL)
A client tells the nurse they are experiencing headaches. Which question should the nurse ask the client that best encourages a detailed description?
A. "How long does a typical headache last?" B. "Do you feel that the headache is triggered by a specific event?" C. "Do you experience any nausea or vomiting with the headache?" D. "What seems to relieve the symptoms?"