What information is most accurate regarding the nurse's understanding of pain management?
a. Older patients have difficulty describing their pain level.
b. Encourage patients to report pain before the pain becomes too severe.
c. Use the smallest dose of medication possible to control pain.
d. Pain medication administration ordered PRN will maintain a constant blood level.
ANS: B
Even though pain medicine administration may be scheduled, encourage the patient to request pain medication before the pain escalates and becomes severe. Although the smallest dose possible to control the pain is the goal of therapy, it is also important that the dose be sufficient to provide adequate relief. Older patients are able to describe pain; a variety of tools are available for a variety of patient populations. Analgesics given on a scheduled basis every 3 to 4 hours will maintain a more constant plasma level.
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The nurse is teaching the parents of a child with multiple environmental allergies on ways to control allergens in the home. What should the nurse include in these instructions? (Select all that apply.)
A) Remove all carpeting. B) Install a dehumidifier in the home. C) Consider having fish as pets instead of a dog or cat. D) Remove stuffed toys unless filled with synthetic material. E) Replace furniture with upholstered chairs and sofas for sitting.
Which clinical manifestations does the nurse anticipate for a pediatric client who is diagnosed with the subacute stage of Kawasaki disease? Select all that apply
1. High fever 2. Diarrhea 3. Thrombocytosis 4. Joint pain 5. Beau lines