A client with end-stage dementia is admitted to the orthopedic unit after undergoing internal fixation of the right hip. How should the nurse manage the client's postoperative pain?
a) Administer pain medication through a transdermal patch.
b) Administer analgesics around the clock.
c) Administer oral opioids as needed.
d) Provide patient-controlled analgesia.
Ans: b) Administer analgesics around the clock.
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A client with a diagnosis of hemolytic anemia has gone to a community-based laboratory for follow-up blood work. The lab technician confirms with the client that hematocrit is one of the components of the blood work
The client replies, "I thought the point of the blood work was to see how many red blood cells I have today." How could the technician best respond to the client's statement? A) "This result will tell your care provider about the number of red blood cells in a given quantity of your blood plasma." B) "Your hematocrit measures the average size of your red blood cells and indirectly measures your oxygen-carrying capacity." C) "The result will indicate how many of your red blood cells are new and young and will indicate your body's production rate of red cells." D) "The hematocrit measures the mass that your red blood cells account for in a quantity of your blood."
A nurse is working at a high school when a young woman comes down to the nursing office concerned about her boyfriend whom she states is making suicidal comments. How does the nurse proceed?
A. Counsel the young woman about relationship issues. B. Call the young woman's parents about her concerns. C. Inform the school psychologist immediately and notify the boyfriend's parents. D. Call the young man down to the nurse's office for a mental health evaluation.
The nurse is caring for an African American male who has just been diagnosed with hypertension. The nurse anticipates that this patient will be started on which medications?
1. A thiazide diuretic 2. A calcium channel blocker 3. An ACE inhibitor 4. A beta-adrenergic antagonist 5. An angiotensin-II receptor blocker
The patient receives reteplase (Retavase) intravenously (IV). The nurse assesses the patient for orientation and level of consciousness. The patient's wife asks the nurse why this is being done
What does the nurse indicate as the reason for the assessment? 1. The medication can alter fluid balance; this affects orientation and level of consciousness. 2. The medication can cause bleeding in the brain; this affects orientation and level of consciousness. 3. The medication causes hypoglycemia; this affects orientation and level of consciousness. 4. The medication decreases oxygen to the brain; this decreases orientation and level of consciousness.