A nurse administered 8 mg of morphine intravenously 20 minutes ago to the client in sickle cell crisis. Which condition indicates that pain relief has been achieved?
A. The client is sleeping.
B. The client's skin is warm and dry.
C. The client's blood pressure is 120/80.
D. The client tells the nurse the pain is better.
D
The adult client with sickle cell disease experiences pain so chronically that the associated phys-ical changes usually seen with severe pain may be absent. The most reliable indicator of pain re-lief is the client's subjective response.
You might also like to view...
A manager has documentation to suspect substance abuse by a nurse. The manager meets with the human resources (HR) director to determine which course of action should be taken to abide by the organization's policies
Which statement by the HR director is appropriate? 1. "We should meet with the nurse and offer access to the employee assistance program." 2. "We should confront the employee and discuss involuntary or voluntary termination." 3. "You need to meet with this nurse and confront these behaviors." 4. "We need to set up a counseling session with a psychologist and this nurse."
Which of these actions is essential when a nurse is caring for a postpartum client who is getting out of bed for the first time?
a. Stay with the client during ambulation. b. Ask a family member to walk with the client. c. Administer pain medication before getting the client up. d. Have a walker or cane readily available.
A patient undergoing treatment for a recurrent UTI is placed on nitrofurantoin. Which component of the patient's history would concern the nurse?
a. Creatinine clearance 35% b. Allergy to penicillins c. Hemoglobin 12.5 d. A history of corrected ureteral stricture
The nurse is caring for a client with a diagnosis of metastatic cancer with a pathogenic bone fracture. The nurse understands that this condition occurs by which mechanism?
A) Increased osteoblastic growth factors (ObGFs) results in a fragile bony structure. B) Increased osteoclast activating factors (OcAFs) result in increased pressure in the bone, resulting in pathogenic fracture. C) Pathogenic fractures occur by either increased pressure in the bone, or breakdown of the bony matrix. D) Pathogenic fractures occur due to the breakdown of the bone network and loss of the bony matrix.