What is the best analgesic schedule for a patient with chronic pain?

a. Around the clock
b. prn
c. qid
d. Only when pain is severe, to prevent tolerance


ANS: A
Around-the-clock pain management prevents pain. Any other schedule allows pain to recur between doses, and pain can get out of control and more difficult to manage.

Nursing

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Two days after an uncomplicated vaginal birth, the nurse notes that the patient's hemoglobin is 13 mg/dL and the hematocrit is 48%. What does the nurse conclude about these values?

A. Patient is dehydrated B. Needs further assessment C. Normal for this situation D. Serious anemia

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The mental health nurse spends a great deal of time with clients diagnosed with a dissociative disorder. Because of this fact, what is it important for the nurse to do?

A) Promote a safe environment to protect the client from self-injury or injury to others. B) Model positive and desired behaviors. C) Develop a contract between the client and the staff for dealing with self-destructive behaviors. D) Decrease anxiety-producing stimuli.

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A fearful infant should be placed in which position for a physical exam?

A) In her or his car seat B) On parent's or caregiver's lap C) Supine on exam table D) Prone on exam table

Nursing

A patient who has been diagnosed with breast cancer decides on a treatment plan and feels positive about her prognosis. Assuming the cancer diagnosis represents a crisis, this patient is most likely experiencing which phase of crisis?

a. Precrisis b. Impact c. Crisis d. Adaptive

Nursing