A patient has been complaining of unrelieved pain. The nurse is aware that unrelieved pain:
a. is unnecessary.
b. can be easily accommodated through drugs and patient positioning.
c. is a major health problem.
d. is one of the interventions in the 100,000 Lives Campaign.
C
Unrelieved pain continues to remain a major health problem. In 2006, pain management standards
were added to the Joint Commission's Comprehensive Accreditation Manual for Hospitals: The
Official Handbook (CAMH).
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Immediately following the forceps-assisted birth of an infant, which action should the nurse implement?
a. Assess the infant for signs of trauma. b. Apply a cold pack to the infant's scalp. c. Give the infant prophylactic antibiotics. d. Measure the circumference of the infant's head.
A patient with a head injury has a pO2 of 88 and a pCO2 of 58. The nurse realizes that which physiologic process will occur in this patient?
1. Cerebral blood vessels will constrict. 2. Cerebral blood vessels will dilate. 3. Blood flow to the cerebral cortex will slow. 4. Blood will be shunted from the cerebral cortex.
As a "floater" in the perioperative area today, your first assignment is a preoperative interview for a 49year-old woman who is scheduled for an abdominal hysterectomy next week
Which patient factor has the most important implication for her care during the perioperative period? A. She develops a rash after using rubber gloves. B. She expresses anxiety about "being put to sleep." C. She states she has 2 to 3 alcoholic drinks per week. D. She takes a diuretic to control her blood pressure.
A client is admitted to a nursing unit in acute alcoholic withdrawal. Which nursing diagnosis is the highest priority early in this admission?
a. Risk for injury related to disorientation and seizure activity b. Disturbed thought processes due to symptoms of withdrawal c. Imbalanced nutrition: less than body requirements due to poor intake d. Acute constipation related to effects of poor nutrition and decreased activity