A patient, age 63, has terminal cancer of the liver and is cared for by his wife at home. His abdominal pain has become increasingly severe, and he now says it is intense most of the time
The nurse recognizes that teaching regarding pain management has been effective based on which measure implemented by this patient? a. Limiting the use of opiate analgesics to prevent addiction
b. Using analgesics only when the pain becomes more than he can tolerate
c. Taking analgesics around the clock on a regular schedule, using additional doses for breakthrough pain
d. Resigning himself to the fact that pain is an inevitable consequence of cancer
C
Fixed dosage schedules with adequate doses for pain relief provide more constant blood levels and predictable pain relief.
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When assessing a client for depression, which of the following would the nurse most likely find?
A) Drowsiness B) Extreme sadness C) Severe headache D) Dilated pupils
A pregnant client who abuses cocaine admits to exchanging sex for her drug habit. This behavior puts her at a greater risk for:
a. postmature birth. b. Sexually transmitted diseases. c. Hypotension and vasodilation. d. Depression of the central nervous system.
A school-aged child will have an intravenous line inserted. His mother asks if he could have this placed in his left hand so that he can do homework. What is your best response?
A) "It's a doctor's decision to decide the best site." B) "Let's take a look at the left hand first." C) "I doubt it; most children have better veins on the right." D) "It would be better for him to wait and be surprised."
A few weeks after an 82-year-old with a new diagnosis of type 2 diabetes has been placed on metformin (Glucophage) therapy and taught about appropriate diet and exercise, the home health nurse makes a visit
Which finding by the nurse is most important to discuss with the health care provider? a. Hemoglobin A1C level is 7.9%. b. Last eye exam was 18 months ago. c. Glomerular filtration rate is decreased. d. Patient has questions about the prescribed diet.