The nurse discharges the client from the ambulatory surgical center to home with a prescription for an opioid analgesic. The client can take the medication every 4 to 6 hours as needed for pain
Which does the nurse include in client teaching about the prescription before discharging the client? 1. Take the medication for severe pain.
2. Use the medication to facilitate healing.
3. Wait 4 to 6 hours before taking the next dose.
4. Take every 4 to 6 hours until the bottle is empty.
3
3. The nurse instructs the client to wait 4 to 6 hours between doses to avoid serious effects of opioid analgesics, including respiratory depression.
1. The nurse encourages the client to take an analgesic when the pain is mild because the medication will be more effective.
2. Opioids have little to do with healing; however, if the client has a thoracotomy or an abdominal incision, opioid analgesia is usually needed to facilitate coughing and deep breathing.
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An adult child brings his father to the emergency department and describes the sudden onset of a panic attack and aggressiveness. After ruling out an infectious process, what action by the nurse is best?
a. Assess the patient for mental illness. b. Perform a mini-mental state exam on the patient. c. Ask about risk factors for delirium. d. Assess the patient for illicit drug use.
In acupuncture, why are the needles inserted at predetermined points or the meridians?
A. They help to restore yin and yang balance. B. This is where the bones and muscles intersect. C. They represent specific yin and yang points. D. It will achieve the best anesthetic response.
The nurse is planning a teaching session regarding ulcers for the residents of an assisted living complex. Which of the concepts may be included in the presentation?
1. Gastric ulcers are more common then duodenal ulcers. 2. The individual with a peptic ulcer will most likely experience pain with an empty stomach. 3. A colonoscopy is the most common test used to diagnose the presence of a gastric ulcer. 4. The first sign of a peptic ulcer may be serious gastrointestinal bleeding.
The nurse understands the implications of the Patient Self-Determination Act. This legislation requires that:
1. Clients designate a power of attorney 2. DNR orders for clients meet standard criteria 3. Organ donation is required upon death, if possible 4. Information be provided to the client regarding rights for refusal of care