The nurse is managing care for a group of clients with pain. Which of the following is an example of a process that may cause acute pain?
1. Cholecystectomy
2. Phantom limb pain
3. Complex regional pain syndrome
4. Degenerative joint disease
Cholecystectomy
Rationale: Surgical pain, such as after gallbladder removal, is considered acute pain because it should have a duration of less than 6 months. The neuropathic pain associated with amputation, phantom limb pain, may not begin immediately and may become a chronic problem lasting more than 6 months. Complex regional pain syndrome is a chronic exaggerated response to a painful stimulus. Degenerative joint disease is chronic and though it may not progress, it does not usually improve.
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The triage nurse is working in the ED. A homeless person is admitted during a blizzard with complaints of being unable to feel his feet and lower legs. Core temperature is noted at 33.2°C (91.8ºF)
The patient is intoxicated with alcohol at the time of admission and is visibly malnourished. What is the triage nurse's priority in the care of this patient? A) Addressing the patient's hypothermia B) Addressing the patient's frostbite in his lower extremities C) Addressing the patient's alcohol intoxication D) Addressing the patient's malnutrition
The nurse is performing an abdominal assessment on an infant. The nurse notes that the umbilicus is bulging and has been displaced slightly to the left of midline. The nurse would suspect that the infant has developed which of the following conditions?
1. Infection 2. Umbilical hernia 3. Ventral hernia 4. Hiatal hernia
Two hours after taking a dose of penicillin, a patient arrives in the emergency department complaining of feeling ill. The nurse notes that the patient is scratching and has hives
While the assessment is being completed, the patient develops difficulty breathing and the blood pressure drops. Select the most likely analysis of the situation. A. The patient is experiencing a moderate allergic reaction that should improve shortly. B. The patient is having a mild reaction that can be treated safely and easily with an antihistamine. C. These symptoms are probably a result of another cause because fewer than 10% of patients have true allergic responses. D. The patient is experiencing an anaphylactic response, and emergency interventions should be started.