The nurse is caring for an older patient with chronic pain caused by arthritis and uterine cancer. What is the best approach for the nurse to take when managing this patient's pain?
1. Administering the pain medication around the clock
2. Administering the medication when the patient requests it
3. Consulting the physician to order intravenous pain medication
4. Administering the medication sparingly to avoid narcotic addiction
1
Rationale: Pain medication is best when it is administered around the clock.
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You are a case manager working with a patient newly admitted to a rehabilitation facility. When developing a care plan for this older adult, which factors should the nurse consider as being positive in this age group?
(Mark all that apply.) A) Decreased risk taking B) Effective coping skills C) No participation in untested roles D) A positive self-image E) Resiliency
The nurse prepares diet teaching on sodium content of foods for a mother with small children. Which observation guided the nurse to make this teaching decision?
a. Mother drinking bottled water b. 3-year-old child eating potato chips c. 5-year-old child eating apple wedges d. 2-year-old child eating whole wheat cereal
A 79-year-old white male tells a nurse, "I have felt very sad lately. I do not have much to live for. My family and friends are all dead, and my own health is failing." The nurse should analyze this comment as:
a. normal pessimism of the elderly. b. evidence of risks for suicide. c. a call for sympathy. d. normal grieving.
A nurse is assessing a patient's skin. Which patient is most at risk for impaired skin integrity?
a. A patient who is afebrile b. A patient who is diaphoretic c. A patient with strong pedal pulses d. A patient with adequate skin turgor