The patient states that the PCA is not controlling his pain. The nurse checks the infusion setup and IV site and then evaluates the patient's ability to use the system. All looks in order
The nurse should notify the physician to: (Select all that apply.)
a. report suspected drug-seeking behavior.
b. possibly change the drug being used.
c. adjust the dosage of the drug being used.
d. request placebo medication to evaluate true pain.
B, C
Instruct the patient to check with the nurse or physician with questions and concerns, or if medication is not controlling the pain. The drug may have to be changed, or the dosage may need to be adjusted.
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The administrators of the hospital where a licensed practical nurse works have recently announced a plan to transition from paper-based medical records to electronic health records (HER)
Many members of the care team support this transition but many remain skeptical. Which of the following criticisms of EHR is most valid? A) "They need to consider the fact that it can be incredibly expensive to change to an EHR." B) "An EHR is certainly high-tech, but it comes at a high price of decreased patient safety." C) "There's no doubt that an EHR is innovative, but there really aren't any benefits beyond that." D) "A lot of people are predicting that the government might soon make laws to limit the transitions to an EHR."
A patient with Paget's disease calls the clinic and tells the nurse that she is experiencing flushing of the face and hands and a rash. The patient states that she is taking calcitonin, salmon (Calcimar) for her Paget's disease
What is the nurse's best response? A) "We expected this to happen. Just ignore it and please do not worry about it." B) "You will need to see the doctor immediately. Come in as soon as possible." C) "This is a common adverse effect of your medication that will lessen with time." D) "This is a serious adverse effect. Stop taking the drug and see the doctor today."
Under which circumstance is washing hands with soap and water more necessary than just using an alcohol-based hand rub for decontaminating the hands?
A. After removing the gloves after starting an IV on an adult client B. After providing direct care to an older client who is taking antibiotics C. Before donning sterile gloves when preparing to insert a urinary catheter D. Before carrying a dinner tray to a client who is infected with methicillin-resistant S. aureus
To maintain a healthy weight, the most important goals are related to changes in
a. behaviors. b. food intake. c. physical activity. d. supplement use.