A client who had knee replacement surgery the previous day refuses to take any pain medication, even though he rates his pain as an 8 on a 0 to 10 scale

Upon questioning the client the nurse learns that the reason for refusing pain medication is be-cause he is concerned about injuring the knee and not feeling it. The best information that the nurse can provide this client is to explain that:
1. The pain medication will help speed his recovery time
2. He need not worry about becoming addicted to the pain medication
3. He will not be perceived as weak for taking the pain medication
4. He is being a difficult client and needs to comply with the health care provider's orders


ANS: 1
Acute pain seriously threatens a client's recovery by resulting in prolonged hospitalization, in-creased risks of complications from immobility, and delayed rehabilitation. Physical or psycho-logical progress is delayed as long as acute pain persists, because the client focuses all energy on pain relief. Thus a primary nursing goal is to provide pain relief that allows clients to participate in their recovery.

Nursing

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A patient with type 1 diabetes has an insulin order for NPH insulin, 35 U, to be given at 0700 . The patient has also been instructed not to take anything by mouth (NPO) in preparation for la-boratory work that will not be drawn until 1000

What action should the nurse implement? a. Give the insulin as ordered. b. Give the insulin with a small snack. c. Inform the charge nurse. d. Hold the insulin until after the blood draw.

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The patient is hemorrhaging and the nurses are assisting in preparing the nursing care plan for the patient. Nursing diagnoses for this patient include which of the following?

1. Increased cardiac output related to vasodilation and fear related to possible im-pending death 2. Increased cardiac output related to hypervolemia and fear related to possible im-pending death 3. Decreased cardiac output related to hypertension and fear related to possible im-pending death 4. Decreased cardiac output related to hypovolemia and fear related to possible im-pending death

Nursing

When comparing the anterior and posterior fontanelles of a newborn, it can be said that both:

1. Are approximately the same size. 2. Close within 12 months of birth. 3. Are used in labor to identify station. 4. Allow for molding of the head.

Nursing

The correct international time for 7:43 PM is

A. 0743. B. 1743. C. 1943. D. 2043.

Nursing