MC According to the WHO three-step Analgesic Ladder for Pain Control, Step 2 includes:
A. Use of non-opiod with adjunctive drugs.
B. Opiod for moderate to severe pain and adjunctive drugs.
C. Opiod for mild to moderate pain and non-opiod drug.
D. Opiod for severe pain without non-opiod.
C
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Examining the electrocardiogram strips of a client with mitral stenosis, the nurse would recognize the characteristic dysrhythmia of
a. atrial fibrillation. b. artial flutter. c. sinus tachycardia. d. ventricular tachycardia.
A nurse administers a tap water enema to an adult client who is constipated. The client defecates a scant amount of brown fecal matter, which the nurse interprets as a poor result. The nurse should take which action?
A. Document the results B. Administer a second tap water enema C. Add soap suds to the enema bag and repeat the enema D. Administer a Fleet enema, then a tap water irrigation
A 63-year-old female has been admitted to the hospital for cholecystitis. She is accompanied by her sister, who provides all the assessment data while the client sits and stares somewhat vacant-ly
You determine that the client is single, lives alone, and lost her job as a secretary last year when she was unable to learn a new computer system. The sister states she has recently had to manage the client's shopping, meal preparation, and finances. Which of the following are appropriate nursing diagnoses? 1. Pain, self-care deficits, situational low self-esteem 2. Anxiety, self-care deficits, disturbed thought processes 3. Impaired home maintenance, disturbed thought process, impaired verbal commu-nication 4. Disturbed body image, anxiety, pain
Causes of a postoperative fever include (Select all that apply.)
a. medication reactions. b. hypotension. c. blood transfusion reaction. d. pulmonary emboli. e. atelectasis.