The nurse is preparing to change a moist-to-dry dressing on a patient. After correctly identifying the patient, what is the next most appropriate step for the nurse to perform?
a. Assess patient/family's knowledge of the purpose of the dressing change.
b. Assess the dressing for the presence of drainage.
c. Ask the patient to rate his or her wound pain.
d. Review the order for the type of dressing.
C
The first step the nurse should do after identifying the patient is to determine if the patient is having any wound pain. It is important to administer prescribed analgesic as needed 30 minutes before the dressing change because giving pain medication before dressing change achieves peak effect of the drug during the procedure. Assessing the dressing for drainage, reviewing the orders, and assessing the patient's knowledge are important but can be done after the pain has been assessed and treated so that the pain medication can have time to reach peak effect when the dressing change begins.
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A woman calls the nurse at the mental health clinic. The woman's husband takes phenelzine (Nardil), and the woman states that he took several over-the-counter decongestants as well, and now he has a stiff neck, headache, nausea, and vomiting
The nurse bases her response on what information? A) Agranulocytosis is an adverse reaction that occurs due to the interaction of MAOIs and decongestants. B) Flulike symptoms are common when patients begin taking MAOIs. C) MAOIs can trigger a hypertension crisis if taken with sympathomimetics. D) Neuroleptic malignant syndrome presents with muscular rigidity following the ingestion of MAOIs.
To measure test-retest reliability of an instrument, a researcher may use the
a. Cronbach alpha coefficient. b. Fischer's exact test. c. Kuder-Richardson score. d. Pearson's correlation statistic.
When giving care to a 30-year-old Hispanic male, which action can most likely be attributed to the patient's cultural beliefs about pain?
a. The patient maintains a stoic affect about pain. b. The patient prefers a pill to an injection. c. The patient ignores somatic interventions such as heat and massage. d. The patient confesses to pain but refuses pain medication.
Which statements would the nurse interpret as indicating that the client understands the diagnosis of open-angle glaucoma?
1. "My eye cannot drain the fluid that it produces." 2. "One of the first signs of this is pain behind my eyes." 3. "My type of glaucoma is a medical emergency." 4. "This is a gradual process; it may take years to develop." 5. "This is the most common kind of glaucoma."