The nurse is planning care plans for multiple patients. Which patient does the nurse anticipate will experience the highest level of pain?
a. 28-year-old experiencing pain related to a metatarsal fracture
b. 45-year-old experiencing pain following a laparoscopic cholecystectomy
c. 67-year-old experiencing chronic back pain
d. 79-year-old experiencing pain related to osteoarthritis
D
While pain is always dependent on the individual patient's perception, the older adult tends to be less tolerant to pain due to factors such as having more than one chronic ailment and having fewer resources for tolerating pain.
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A nurse assesses a client who is recovering from a radical nephrectomy for renal cell carcinoma. The nurse notes that the client's blood pressure has decreased from 134/90 to 100/56 mm Hg and urine output is 20 mL for this past hour
Which action should the nurse take? a. Position the client to lay on the surgical incision. b. Measure the specific gravity of the client's urine. c. Administer intravenous pain medications. d. Assess the rate and quality of the client's pulse.
The gerontological nurse enrolls in a program to learn healing touch. How does this technique differ from therapeutic touch? (Select all that apply.)
A) Seals energy leaks B) Manipulates soft tissues C) Rebalances energy fields D) Applies pressure to body areas E) Incorporates opening energy blockages
A parent of a school-age child tells the school nurse that the parents are going through a divorce. The child has not been doing well in school and sometimes has trouble sleeping. The nurse should recognize this as what?
a. Indicative of maladjustment b. A common reaction to divorce c. Suggestive of a lack of adequate parenting d. An unusual response that indicates a need for referral
During a community information session about breast cancer a participant says, "You hear about so many women with breast cancer now. Why is it so much more common?" Which nursing statement is indicated?
1. "We believe that the hormone additives in milk and meat have made breast cancer more common.". 2. "Since we revised the recommendations for the use of hormones during menopause, the rates of breast cancer have actually decreased.". 3. "Our surveillance, detection, and treatment options are better now, so deaths due to breast cancer are fewer.". 4. "So many more women smoke cigarettes now that breast cancer rates are going up.". 5. "In the United States we have a higher percentage of Hispanic women, who are at highest risk of developing breast cancer.".