What is the best way for you to determine a patient's need for pain medication on the second day after an abdominal laparotomy?
a. Check when the patient last received medication for pain.
b. Assess the patient's facial expression and vital signs.
c. Consider the patient's age and ethnicity.
d. Ask the patient to rate his or her pain.
ANS: D
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Which comment made by a client with breast cancer indicates correct understanding regarding cancer causes and prevention?
a. "I will prevent recurrence of my cancer by eating a low-fat diet from now on." b. "If I had breast-fed my children, this would not have happened to me." c. "I hope this doesn't increase my risk for bone cancer or lung cancer." d. "I will have regular mammograms on my other breast to detect cancer early."
During discharge planning for a drug-dependent newborn, the nurse explains to the mother how to do which of the following?
1. Place the newborn in a prone position. 2. Limit feedings to three a day to decrease diarrhea. 3. Place the infant supine and operate a home apnea-monitoring system. 4. Wean the newborn off the pacifier.
A client has had chronic back pain for several years. On assessment, the nurse notes that the client sits quietly in a chair, reads a book, talks with a companion, and does not appear to be in pain
When questioned, the client rates her pain as a 6 on a scale of 0 to 10. The nurse recognizes that: a. Many clients cannot be believed when they complain of severe pain lasting many months. b. Clients may not have the same objective responses to chronic pain because of compensation over time. c. The client probably has already taken a very effective pain medication. d. This client is probably not having as much pain as she reported initially, and more assessment is required.
An infusion of nitroglycerine has been ordered by the critical care health care provider in the treatment of a patient who has been admitted to the intensive care unit in a state of shock
The nurse should anticipate that this patient is likely experiencing what type of shock? A) Neurogenic shock B) Septic shock C) Anaphylactic shock D) Cardiogenic shock