The nurse is caring for a postoperative patient. Which of these outcomes would be most important for the patient's postoperative nursing diagnosis of Pain related to new incision?
a. Patient reports pain using a pain scale.
b. Patient states alternative techniques to minimize pain.
c. Patient states normal coping techniques for pain.
d. Patient states pain relief is satisfactory.
ANS: D
The priority outcome for the nursing diagnosis of Pain is met if patients report a decreased level of pain that is satisfactory to them. A, B, and C may be helpful in achieving the goal of pain relief but are not the priority goal.
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Standard precautions were designed to protect health care workers from occupational exposure to pathogens. Standard precautions includes all the following except
A) Limit movement of patient out of the room. B) Wash hands after touching blood, body fluids, secretions, excretions, and contaminated items. C) Wear mask, eye protection, or face shield during procedures and care activities that are likely to generate splashes or sprays of blood or body fluids. D) Handle, transport, and process linen soiled with blood and body fluids, excretions, and secretions in a manner that prevents skin and mucous membrane exposures, contamination of clothing, and transfer of microorganisms.
Mr. A says that he does not need his medicine for hypertension. He also claims that it makes him feel weak and he suspects that it sometimes makes him impotent. When his wife tries to remind him to take the drug, he becomes enraged
How can a nurse best help in this situation? A) Suggest that Mr. A vent his frustrations B) Insist that Mr. A force himself to take the medicine C) Advise Mr. A's wife to supervise him D) Exhort Mr. A repeatedly that a chronic condition like hypertension requires self-care
The nurse working in a physician's office recorded assessment data in the wrong patient's medical record about 1 hour ago. How should the nurse correct this error?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Black out the error with a marker and enter the new information. 2. Indicate the date and time the correction was made. 3. Indicate the reason the correction is being made by writing "wrong patient chart" along with the new information. 4. Enclose the corrected information in brackets to set it off from the original post. 5. Either initial or sign the correction.
A patient has been prescribed propranolol (Inderal) for migraine headaches. The patient asks the nurse how the medication works. Select the nurse's most appropriate response for this medication's benefits
a. This medication can reduce the number and intensity of migraine attacks. b. This medication can abort an acute migraine attack. c. This medication is more effective in women than in men. d. This medication is especially useful in treating menstrual migraines.