The nurse is caring for a patient with a newly fractured femur who reports a pain level of 8/10. The nurse checks the medication record and finds that the analgesic medication is not due for another 50 minutes

Which of these actions would be appropriate for the nurse to take next?
a. Tell the patient it is too early for pain medication.
b. Notify the registered nurse or physician.
c. Give the medication in 30 minutes.
d. Reposition the patient.


ANS: B
B. The patient should not have to wait for pain relief, so the LPN should inform the RN or physician so new pain relief orders can be obtained. A, C. These options do not provide immediate pain relief, which would be the positive outcome desired by the patient. D. The patient who has a fractured femur is having acute pain. Repositioning a patient with a new fracture is not likely to relieve pain.

Nursing

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What would be the result of ambivalence during the dependent-patient role stage?

A. Create barriers that interfere with the treatment and willingness to comply. B. Warrant further confirmation sought from family and friends about what is happening. C. Have the person become aware that something is wrong. D. Cause additional burdens to family and friends of the person at this time.

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A patient begins taking cholestyramine (Questran) to treat hyperlipidemia. The patient reports abdominal discomfort and constipation. The nurse will provide which instruction to the patient?

a. Increase fluid and slowly increase fiber intake. b. Stop taking the medication immediately. c. Take an over-the-counter laxative. d. Take the medication on an empty stomach.

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The nurse at a public health infant immunization clinic is acting as a preceptor for a nursing student

To assess the student's understanding of vaccinations, the nurse asks the student where the hepatitis B vaccine should be administered. The student would be correct to respond that the hepatitis B vaccine should be administered in the a. dorsogluteal muscle in an adult. b. anterolateral thigh in infants. c. ventrogluteal muscle in adolescents. d. deltoid of toddlers.

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Which of the following statements best reflects a goal based on a clinical standard of practice?

1. Client will lose 10 pounds in 90 days. 2. Client will walk 30 feet with minimal assistance. 3. Client's peripheral intravenous site will be free of redness. 4. Client's chronic pain will be managed with oral medication by discharge.

Nursing