The nurse is talking to a patient with chronic pain secondary to psoriatic arthritis in multiple joints about developing a pain management program. Which goal identified by the patient would be realistic for the program?
a. "I would like for all my pain to be gone and not recur in the future."
b. "I want to be able to do all the things I used to do before this pain started."
c. "I want to control the pain enough to allow me to sleep through the night."
d. "My goal is to lead a normal life without experiencing so much pain every day."
C
A reasonable goal is to obtain adequate pain control to allow for the patient to sleep during the night. It is not realistic to think that the pain can be completely eliminated. The patient will not be able to do everything she did before the pain started because strenuous activity will likely exacerbate the pain in the damaged joints. The patient's life will not be the same as it was before the pain, because the damaged joints will not return to normal; however, pain reduction enough to function and engage in ADLs is a reasonable expectation.
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In understanding the growth fraction as it pertains to the success of chemotherapy, the nurse knows that the growth fraction is a ratio of
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