A patient, recovering from burn injuries, tells the nurse that he does not want to take any more pain medication than necessary however he does continue to experience pain. Which of the following might be helpful to this patient?
1. instruct the patient on nonpharmacological interventions for pain control
2. increase the dosage of the pain medication
3. suggest that intravenous pain medication be provided until he experiences no pain
4. provide intravenous pain medication with oral medication for break through pain
1
Rationale: The patient would benefit from nonpharmacological interventions for pain control which include biofeedback, hypnosis, relaxation therapy, and guided imagery. The nurse should not increase the dosage of pain medication or suggest that intravenous medication be the route of choice for pain control until the patient is pain free. Providing oral medication with intravenous medication for pain might cause an overdose and should not be done.
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A client who is going to have a biopsy is demonstrating moderate anxiety, as exemplified by his
inability to grasp information presented by the health care team. The nursing intervention that should be implemented is to a. reassure the client that many treatments are available for a lung neoplasm. b. describe the procedure again in a calm manner and with simple language. c. tell the client that staff are prepared to help him in any way they can. d. explain to the client that he should not keep his feelings to himself.
Which sexually transmitted disease would the nurse suspect when an adolescent girl comes to the clinic because she has a vaginal discharge that is white with a fishy smell?
a. Human papillomavirus b. Bacterial vaginosis c. Trichomonas d. Chlamydia
A nurse manager observes that a few of the new employees continue to mismanage their time, which results in a flurry of activities that do not achieve the expected outcome goals for the time spent
The most likely cause of this behavior is that the nurses: a. want to appear busy. b. love crises. c. know about time management but do not think it applies to them. d. think they are far too superior to need to plan their time.
If a nurse administers a liquid medication via the oral route and then realizes it was ordered to be administered via the parenteral route, the nurse should
1. Report it as a medication error. 2. Take no special action because a liquid medication can be administered either way. 3. Log it on the patient's chart but inform the physician of the change in administration. 4. Give another dose via the parenteral route because the incorrectly administered dose will be ineffective.