A patient is prescribed ibuprofen for back pain. The nurse realizes this analgesic:

1. Is the first step in the World Health Organization's three-step approach to pain management.
2. Should be used with caution in patients who consume more than three alcoholic beverages per day.
3. Can be taken safely up to the day of a surgical procedure.
4. Needs to be taken at a higher dose if administered with an opioid.


Is the first step in the World Health Organization's three-step approach to pain management.

Rationale: Acetaminophen and nonsteroidal anti-inflammatory drugs such as ibuprofen are considered the first step in the World Health Organization's three-step approach to pain management. Acetaminophen should be used with caution in patients who consume more than three alcoholic beverages per day. Nonsteroidal anti-inflammatory drugs should be discontinued 1 to 2 weeks prior to a surgical procedure to reduce the risk of bleeding. If a nonsteroidal anti-inflammatory drug is administered with an opioid, the opioid dose can be reduced.

Nursing

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You are assessing an 86-year-old postoperative patient who has an unexpressive, stoic demeanor

When you enter the room, the patient is curled into the fetal position and your assessment reveals that his vital signs are elevated and he is diaphoretic. You ask the patient what his pain level is on a 0-to-10 scale that you explained to the patient prior to surgery. The patient indicates a pain level of "three or so." You review your pain-management orders and find that all medications are ordered PRN. How would you treat this patient's pain? A) Treat the patient on the basis of objective signs of pain and reassess him frequently. B) Call the physician for new orders because it is apparent that the pain medicine is not working. C) Believe what the patient says, reinforce education, and reassess often. D) Ask the family what they think and treat the patient accordingly.

Nursing

A male African American client says to a white male nurse "There's no sense in talking with you

You wouldn't understand because you live in a white world.". The best response for the nurse would be to a. explain that the nurse can understand because everyone goes through the same experiences. b. ask the client to give an example of something he thinks the nurse wouldn't understand. c. reassure him that nurses are trained to deal with people from all cultures. d. gently change the subject to one that is less emotionally charged.

Nursing

What benchmarks might be expected to be measured for hospital performance? Select all that apply

a. Average length of hospital stay for cardiac surgery b. Total admissions for cardiac surgery c. Infection rates for cardiac surgery d. Length of surgery e. Deaths by surgeon

Nursing

Which of the following is a neuroglial cell? (select all that apply)

a. Astrocyte b. Oligodendrocyte c. Neuron d. Ependymal cell e. Melanocyte

Nursing