A patient with pancreatitis is complaining of pain at a level of 10 on a scale of 0 to 10 . The doctor has ordered IV fentanyl citrate (Sublimaze) every 4 hours prn for pain and lorazepam (Ativan) every hour prn for agitation
The last dose was given 3 hours ago. The patient's respiratory rate is 22 per minute with full depth. What is the best nursing action?
A) Obtain an order for meperidine (Demerol) to prevent sphincter of Oddi spasm.
B) Administer IV fentanyl now, as the patient is in pain.
C) Administer IV lorazepam for agitation.
D) Consult the physician for an increase in fentanyl frequency.
D
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A patient's current medical status includes multiple comorbidities. In recent months, the patient has been complaining of insomnia that has begun to have a significant impact on his quality of life
What aspect of this patient's health is most likely to cause insomnia? A) The patient has hypothyroidism. B) The patient is morbidly obese. C) The patient has chronic pain. D) The patient has type 2 diabetes.
The primiparous patient has stated that she wants to avoid an epidural and would like an unmedicated birth. Which nursing action is most important for this patient?
1. Encourage the patient to vocalize during contractions. 2. Perform vaginal exams only between contractions. 3. Provide a CD of soft music with sounds of nature. 4. Offer to teach the partner how to massage tense muscles.
The nurse is preparing to conduct a general survey. Which should the nurse recognize is the purpose of performing the general survey prior to the physical assessment?
A. Provides the information necessary for the diagnosis. B. Yields information to guide the physical assessment. C. Allows for vital signs prior to starting exam. D. Provides an opportunity for the client to relax before the exam.
The nurse is contributing to the teaching plan for a patient taking antihypertensives to control blood pressure who is on a 2000-calorie DASH diet. What should be included in the teaching about this diet? (Select all that apply.)
a. Eat four or five servings of vegetables a day. b. Include four to five servings of grains each day. c. Consume four or five servings of fruit each day. d. Eat four or five servings of nuts, seeds, and legumes each day. e. Eat two or fewer servings of lean meat, poultry, or fish each day. f. Consume two to three servings of low-fat or nonfat dairy products.