The nurse is reviewing the admission orders for an older adult client who is being admitted for a hysterectomy. The client, who has been diagnosed as having uterine cancer, has chronic pain caused by arthritis. The healthcare provider has prescribed long-
What should the nurse do when providing the medication to the client?
A) Administer the medication when the client requests.
B) Administer the medication around the clock.
C) Consult the physician to order intravenous pain medication.
D) Administer the medication sparingly to avoid narcotic addiction.
Answer: B
Pain medication is best when it is administered around the clock. Needless suffering occurs when the medication is used sparingly or when waiting for the client to request something for pain. The elderly are less likely to become addicted to narcotics. Oral medications are the least invasive and may provide sufficient relief; therefore, they should be tried first.
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Order: Meperidine 50 mg IM Available:
a. 1 mL b. 0.5 mL c. 1.5 mL d. 0.75 mL
While studying bones in pathophysiology class, the nursing students learn that the Haversian canals are composed of
A) calcium salts. B) collagen. C) lymphatics. D) glycosaminoglycans.
Often, the admission of a family member to the hospital creates conflict and stress for family members
This is the case for the White family, who ask the nurse caring for an elderly family member multiple questions and for explanations about their father's recent admission to the hospital for pancreatitis. Which of the following environmental factors is supportive of family-focused nursing care? 1. Prior family priorities and routines assist the health-care team to concentrate on the family's perceptions of priorities of care. 2. Multiple questions suggest that family members are not absorbing the information that is being provided to them; they need to be provided with more online resources to use at times that are convenient for them. 3. The family is likely to be disagreeing with one another about what should be happening with the care of their father; the nurse should seek out a key family member to discuss concerns rather than meeting with the entire family. 4. Information needs to be given in understandable language, with the use of pictures drawn to illustrate concepts starting at the time of admission to the hospital.
Family members gather in the emergency department after learning that a family member was involved in a motor vehicle accident
After learning of the family member's unexpected death, the surviving family members begin to cry and scream in despair. Which phase does the nurse determine the family is in according to the Attachment Theory? a. Numbing b. Reorganization c. Yearning and searching d. Disorganization and despair