A patient is complaining of pain in the hands when asked to make a fist. The nurse realizes the skin layer that includes the sensory and motor fibers would be the
1. dermis.
2. epidermis.
3. hypodermis.
4. myelin sheath.
1
Rationale: The dermis contains connective tissue and elastic fibers, sensory and motor nerve endings, and a complex network of capillary and lymphatic vessels and muscles. The epidermis, the outermost layer, contains epithelial cells. The hypodermis contains blood vessels, nerves, muscle, and adipose tissue. The myelin sheath is not a layer of the skin.
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A hospitalized client uses a transdermal fentanyl (Duragesic) patch for chronic pain. What action by the nurse is most important for client safety?
a. Assess and record the client's pain every 4 hours. b. Ensure the client is eating a high-fiber diet. c. Monitor the client's bowel function every shift. d. Remove the old patch when applying the new one.
A patient with a primary diagnosis of lung cancer developed bone metastases in recent months and experienced excruciating pain
As a result, the patient was treated with a combination of continuous-release and immediate-release morphine delivered by the oral route. Since yesterday, the patient has experienced a decreased level of consciousness and has become unable to swallow. How should the nurse best manage this patient's analgesia? A) Opioids should be discontinued because of the patient's decreased level of consciousness. B) The patient should receive similar doses of morphine by alternative routes. C) The patient's morphine should be reduced and a nonsteroidal anti-inflammatory (NSAID) introduced. D) Analgesia should be discontinued because the patient's decreased level of consciousness indicates that his pain has subsided.
Which of the following are purposes of a family assessment? Select all that apply
1. Determine the level of family functioning. 2. Identify family strengths and weaknesses. 3. Provide legal guidelines for consent to health care. 4. Clarify family interaction patterns.
An adult patient is admitted to the hospital with an acute exacerbation of chronic obstructive pulmonary disease (COPD). During the health history the patient admits dyspnea on exertion (DOE), cough, weight gain, and swollen ankles
Which of these findings is most frequently associated with respiratory disorders? 1) DOE 2) Cough 3) Weight gain 4) Swollen ankles