Which intervention by the nurse is most appropriate to reduce a client's pain after a burn injury?
a. Administering morphine sulfate 4 mg intravenously
b. Administering morphine sulfate 4 mg intramuscularly
c. Applying ice to the burned area for 20 minutes
d. Avoiding tactile stimulation near the burned area
A
Drug therapy for pain management requires opioid and non-opioid analgesics. The IV route is used because of problems with absorption from the muscle and the stomach. Tactile stimulation can be used for pain management. For the client to avoid shivering, the room must be kept warm, and ice should not be used. Ice would decrease blood flow to the area.
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The first step in crisis intervention is to achieve contact. When initiating contact with a client after a crisis, the nurse should not:
1. Collect information regarding health conditions. 2. Provide for emotional and physical safety of client. 3. Discuss the nurse's personal experiences with crises. 4. Identify feelings, reactions, and perceptions of client.
Health care benefits supported by both federal and state funding are exemplified in:
1. cost-containment prospective funding. 2. DHHS Social Security benefits for dentures. 3. CDC surveillance of persons at risk for AIDS. 4. Medicaid provision for skilled care in the home.
The nurse is advising a client about health problems related to being overweight. The client acknowledges the need to lose weight. The nurse provides education on how to count calories in food and the importance of daily exercise. The client states she will begin to count caloric intake beginning with the next meal. The client also states intentions to begin an exercise program with friends. Which statement illustrates Lewin's stage of unfreezing?
a. The client acknowledges the need to lose weight. b. The client states she will begin to count caloric intake with the next meal. c. The nurse provides education on how to count calories in food and the importance of daily exercise. d. The client also states intentions to begin an exercise program with friends.
A patient is brought into the emergency department complaining of blindness after an explosion at an atomic power plant. What should the nurse explain to this patient?
A. "There is a variety of resources available for those who are unable to see." B. "I will contact Social Services so that resources can be identified to help you with your disability." C. "I'm afraid the blast has caused permanent blindness." D. "The effects of the blast will disappear with time."