A client with a terminal illness refuses pain medication. The nurse realizes that the client may decline pain medication for which of the following reasons? (Select all that apply.)
1. Fear that the pain means the disease is worse
2. Insufficient health plan benefits to pay for the medication
3. Cultural background prevents the use of pain medication
4. Fear of becoming addicted to pain medication
5. Fear of side effects
6. Concern about being labeled as a "bad" client
1, 4, 5, 6
Client barriers to sufficient pain management include fear that the disease is worse, fear of becoming addicted to pain medication, fear of side effects, and concern about being labeled as a "bad" client. Insufficient health plan benefits to pay for the medication and cultural background preventing the use of pain medication are not identified client barriers to sufficient pain management.
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Which of these strategies would be most effective for a "teachable moment" for the parents of a four-year-old child during a routine office visit?
1. Discuss with the parents preparation for school because the child will start kindergarten next year 2. Review five-year-old anticipatory guidelines with the parents. 3. Select one topic that is a common problem or concern for parents of four-year-olds and present a brief amount of information on the topic. 4. Review all four-year-old anticipatory guidelines with the parents.
The nurse manager is reviewing an occurrence report written after a client fall. For which personal factors should the manager consider as contributing to this occurrence? (Select all that apply.)
1. Patient consumed 75% of last meal 2. Patient's team leader a new graduate 3. Unlicensed assistive personnel assigned working a double shift 4. "Ambulate with assistance" not written on the Kardex care plan 5. Patient being discharged to a skilled nursing facility the next day
During childbirth education, a woman should be advised that she may have a sudden gush of fluid from the vagina as she approaches her expected delivery date. Which statement best explains this event?
a. The fluid, often called bloody show, is caused by the expulsion of a protective mucous plug from the cervix. b. This loss of fluid is usually related to overexertion during the sudden burst of energy that often occurs shortly before labor begins. c. Rupture of amniotic membranes allows the amniotic fluid to flow from the uterus through the vagina. d. The passage of fluid eliminates excess water in preparation for the process of labor.
Sally, aged 25, presents with impetigo that has been diagnosed as infected with staphylococcus. The clinical presentation is pruritic tender, red vesicles surrounded by erythema with a rash that is ulcerating. She has not been adequately treated recently
Which type of impetigo is this? a. Bullous impetigo b. Staphylococcal scalded skin syndrome (SSSS) c. Nonbullous impetigo d. Ecthyma