When considering how a patient is likely to respond to a nonpharmaceutical treatment for pain, a nurse understands that according to gate control theory,
1. The hypothalamus can open and close the gate in relation to stress and anxiety.
2. Stimulation of the narrow nerve fibers closes the gate, reducing pain.
3. Endorphins help to close the gate, reducing pain.
4. One should not immediately rub an injured body part because that can increase pain.
ANS: 3
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A client who has been divorced for six months has recently been lying in bed most days, unable to care for the children. This is referred to as:
1. A situational crisis. 2. A stressful situation. 3. Lack of resilience. 4. Regression.
An older male adult who has chronic obstructive lung disease has muscle wasting and poor skin integrity due to a long-term therapeutic regimen. Which patient teaching should the nurse use to help reduce his risk of falls?
a. Take calcium carbonate (Caltrate 600) with meals. b. Take omeprazole (Prilosec) before breakfast. c. Participate in a progressive regular exercise program. d. Avoid crowds and people with contagious illnesses. e. Consume a well-balanced diet that is high in calories. f. Perform gentle skin cleansing with an emollient lotion.
The nurse is instructing a patient on ways to prevent the onset of infection. What should be included in these instructions?
1. Wash hands after using disposable tissues for nasal secretions. 2. Reduce animal protein in the diet. 3. Take prescribed antibiotics until symptoms subside. 4. There is no need to limit interactions with people or crowds.
A patient newly diagnosed with type 2 diabetes who is prescribed rosiglitazone (Avandia) has all the following health problems. For which problem do you check with the prescriber to make certain rosiglitazone is an appropriate drug choice?
a. Severe asthma for the last 3 years b. Myocardial infarction 1 year ago c. Uncontrolled hypertension d. Glaucoma