The nurse is caring for an older adult patient with terminal cancer who is receiving medication via patient-controlled analgesic (PCA) pump. The nurse shows an understanding of primary end-of-life concerns when asking the patient
a. "Do you have any concerns about receiv-ing your medication intravenously?"
b. "Are you satisfied with the way your pain is being managed?"
c. "Are you worried about becoming ad-dicted to the narcotic analgesics?"
d. "Do you have any questions concerning how to use the PCA properly?"
B
Terminally ill patients generally identify their main concern as pain control. The other questions do not address this issue.
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Ramandeep is an active 23-year-old. She works as a part-time nurse during the day and is studying for a postgraduate certificate in the evening
Ramandeep started to wear a bite plate at night after she began to experience jaw pain and headaches. Sometimes the pain radiated to her ear, and she would apply a hot water bottle to it to ease the discomfort. It was not until her husband mentioned to her that he heard her grinding her teeth at night while she was sleeping. She knew then that her headaches might be from temporomandibular joint syndrome, and she went to her dentist to confirm her thoughts. In addition to the bite plate, the dentist also recommended she should continue with the application of heat, use NSAIDs when needed, and incorporate regular relaxation exercises throughout her stressful days. What effect does heat have on nociceptors so that it makes a good nonpharmacologic treatment for pain? Heat and cold treatment are both hypothesized to have an effect on the release of endogenous opioids. What are these chemicals, and why are they hypothesized to be beneficial in the body? Using your knowledge of physiology, how do NSAID analgesics function in the management of pain?
A patient reports heavy menstrual periods, easy fatigability, and a general lack of energy. What is this patient most likely suffering from?
a. Acute renal failure b. Iron-deficiency anemia c. Hypokalemia d. Dehydration
A client has been prescribed pyridostigmine for myasthenia gravis. The nurse would be alert for the development of which of the following?
A) Seizure disorder B) Reduction of visual acuity C) Abdominal discomfort D) Cardiac arrhythmias
Which of the following is an example of cultural humility?
1. A nurse familiarizes herself with the requirements of kosher food. 2. A nurse believes that giving Jell-O to all patients after surgery has no cultural implications. 3. Patients and family members are discouraged from praying on the floor to protect their hygiene and safety. 4. All of the above.