A patient has a long history of severe and persistent pain and has trialed a number of different analgesia regimens, all with limited success. The patient is increasingly distraught and depressed as a result of continued pain

Which of the following interventions would be most likely to benefit this patient?
A) Guided imagery and relaxation techniques
B) Transcutaneous electrical nerve stimulation (TENS)
C) Use of a patient-controlled analgesia (PCA) pump
D) Neurosurgery to interrupt the patient's pain pathways


D

Nursing

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A 22-year-old patient is HIV-positive. She is 8 months pregnant and did not receive antiretroviral therapy during her pregnancy

The nurse explains to the women that the best way to reduce the risk of transmitting the HIV virus to her baby is by receiving A) intravenous zidovudine during delivery. B) zidovudine in the last 4 weeks of pregnancy. C) intravenous zidovudine during labor. D) zidovudine 1 week before the baby is born.

Nursing

A patient has just received a prescription for fluticasone/salmeterol [Advair Diskus]. What will the nurse include as part of the teaching for this patient about the use of this device?

a. "You do not need good hand-lung coor-dination to use this device." b. "You will begin to inhale before activating the device." c. "You will need to use a spacer to help control the medication." d. "You will take 2 inhalations twice daily."

Nursing

A client is consulting a certified nurse–midwife because she is hoping for a vaginal birth after cesarean (VBAC) for this pregnancy. Which statement indicates that the client requires more in-formation about VBAC?

1. "I can try a vaginal birth because my uterine incision is a low segment transverse incision." 2. "The vertical scar on my skin doesn't mean that the scar on my uterus goes in the same direc-tion." 3. "There is about a 90% chance of giving birth vaginally after a cesarean." 4. "Because my hospital has a surgery staff on call 24 hours a day, I can try a VBAC there."

Nursing

A woman who is experiencing hot flashes associated with menopause asks the nurse about using black cohosh. Which response by the nurse is correct?

a. "Black cohosh may be used long term in place of hormone replacement therapy." b. "Black cohosh may contribute to iron toxicity." c. "Black cohosh may interact with antihypertensive drugs." d. "Black cohosh treats menopausal symptoms without altering hormone levels."

Nursing