A patient with a 10-year history of alcoholism was admitted to the critical care unit with the diagnosis of acute pancreatitis. The patient is complaining of a pain in the left upper quadrant
Using a 1- to 10-point pain scale, the patient states the current level is at an 8 . To properly manage the patient's pain, the priority of nursing interventions is to a. administer antiemetics around the clock.
b. administer analgesics around the clock.
c. educate the patient and family on lifestyle changes.
d. teach relaxation techniques.
B
Pain management is a major priority in acute pancreatitis. Administration of around-the-clock analgesics to achieve pain relief is essential. Morphine, fentanyl, and hydromorphone are the commonly used narcotics for pain control. Relaxation techniques and the knee–chest position can also assist in pain control.
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Calculate the daily rate of maintenance fluids and the IV hourly flow rate for a child who weighs 95 pounds
1. 1960 mL per day; 80 mL/h 2. 2100 mL per day; 87.5 mL/h 3. 2500 mL per day; 104 mL/h 4. 2050 mL per day; 85 mL/h
The nurse, caring for older school-age client recovering from an appendectomy, is preparing to help the family ambulate the child for the first time after surgery. Which non-pharmacological nursing strategy would be appropriate for this client?
A) A warm, moist pack over the site of the incision B) A splint pillow against the abdomen when moving or coughing C) Administering appropriate narcotic analgesics D) An ice pack over the site of the incision
What are the positive effects of geriatric massage? (Select all that apply.)
a. Improved circulation b. Increased range of motion c. Reduction of anxiety d. Increased sexual potency e. Improved mobility
The mother of a 9-month-old girl calls the clinic. She tells the nurse that her daughter has developed a rash
The nurse asks the following questions: • When did the rash begin? • Where did it begin? • Has it spread? If so, where? • Has the parent noticed the infant scratching? • Has there been any oozing, unusual odor, or puss-type material associated? • Has there been crusting or erosion? Why would it be important for the nurse to ask these questions? A) Helps the nurse conceptualize the rash B) Tells the nurse whether this is a childhood communicable disease C) Helps the nurse know if this is mumps D) Helps pinpoint possible causes