The nurse caring for a client with severe dementia has assessed the client's level of pain as moderate
and has provided pain relief medication.
An hour after the medication is administered, reassessment
suggests that the client is still in pain. The best action for the nurse to take would be to
a. seek an order for additional analgesia.
b. reposition the client.
c. offer oral intake.
d. give adjuvant medication.
B
Repositioning the client offers an opportunity to provide a simple, yet often effective, comfort
measure. Another tip is to ensure the patency of the indwelling catheter if the client has one.
Blocked urine flow can create pain associated with a distended bladder. Options A and D: Seeking
additional or adjuvant medication an hour after analgesic administration is not advised. Option C:
Oral intake may not be feasible because many clients with severe dementia have difficulty
swallowing.
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The nurse encourages the mother of a toddler with acute LTB to stay at the bedside as much as possible. The nurse's rationale for this action is primarily that
a. Mothers of hospitalized toddlers often experience guilt. b. The mother's presence will reduce anxiety and ease child's respiratory efforts. c. Separation from mother is a major developmental threat at this age. d. The mother can provide constant observations of the child's respiratory efforts.
A nurse responsible for staffing a medical-surgical unit must consider: (Select all that apply.)
a. the patient census. b. physical layout of the unit. c. complexity of care required. d. educational level of all staff. e. task preferences of the nurses.
The patient reports to the nurse that she is utilizing ayurvedic medicine. Which statements would the nurse expect this patient to make? "Aryurvedic medicine: Note: Credit will be given only if all correct and no incorrect choices are selected
Select all that apply. 1. "Is knowledge of how to live a vital, healthful life." 2. "Combines heat and cold with spinal manipulation." 3. "Uses both traditional means and current modern medicine." 4. "Cures an illness with a like substance." 5. "Seeks balance to achieve harmony in my life."
A reduction in the number of leukocytes in the blood is termed ________.
Fill in the blank(s) with the appropriate word(s).