A patient who is receiving around-the-clock pain medication complains of an acute exacerbation of pain. What should the nurse do to help this patient?
A. Talk with the patient through the pain.
B. Provide the medication prescribed for breakthrough pain.
C. Encourage the patient to ignore the pain.
D. Give the patient a nonsteroidal anti-inflammatory drug (NSAID).
Answer: B
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A nurse is preparing to administer gentamicin (Garamycin), IV, to a hospitalized child. Before administering the medication, the nurse checks the drug trough level, which is 13 µg/mL. Which action by the nurse is the priority for this child?
A. Administer the medication. B. Document the findings. C. Have the laboratory re-run the specimen. D. Notify the health-care provider.
A patient is cleaning the garage and splashes a chemical in his eyes. The initial priority after the chemical burn is to
a. transport to a physician immediately. b. cover the eyes with a sterile gauze. c. irrigate with H2O for 15 minutes or longer. d. irrigate with normal saline solution for 1 to 5 minutes.
Robert Howe, age 67, is admitted with the diagnosis of pleuritis. Auscultation of Mr. Howe's thorax reveals a pleural friction rub. How can the nurse differentiate this sound from other abnormal breath sounds?
A) Rubs occur during inspiration and clear with coughing. B) Rubs occur during expiration and produce a light popping sound. C) Rubs occur during inspiration and may be heard anywhere. D) Rubs occur during inspiration and expiration and are unaffected by coughing.
When promoting client safety on an inpatient psychiatric unit, which of the following interventions would be used as the measure of last resort?
A) Surveillance B) Seclusion C) Room restriction D) Four-point restraint