The nurse is conducting a pain assessment of a 10- year-old boy who has been taking acetaminophen for chronic knee pain. The assessment indicates that the recommended dose is no longer providing adequate relief
What is the appropriate nursing action?
A) Increase the dosage of the acetaminophen
B) Tell the child he is experiencing the ceiling effect
C) Use guided imagery to help his pain
D) Obtain an order for a different medication
D
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The laboring client requests pain medication. Her contractions are lasting 20–30 seconds and are occurring every 8–20 minutes. The nurse would explain that analgesics given at this time would likely cause:
1. Fetal respiratory depression. 2. Decreased analgesic effectiveness at the end of labor. 3. Maternal hypotension. 4. Prolonged labor.
Florence Nightingale's views about trained nurses were most influenced by her
a. experiences in wartime. b. ideas about sanitation. c. relationships with physicians. d. view of education.
After teaching the client who is to receive dinoprostone to induce abortion, the nurse recognizes further teaching is needed when the client responds,
a. "At least I know the fetus will be dead at delivery when this drug is used." b. "I may feel nauseated while the drug is working." c. "Someone will be with me at the time the fetus is delivered." d. "The medication is administered into the vagina."
During an assessment, the nurse notices that an African American baby has a darker, slightly bluish patch about 5 by 7 cm on the buttocks and lower back. What should the nurse do?
1. Chart the presence of a Mongolian spot. 2. Ask the mother about the cause of the bruise. 3. Confer with the physician about the possibility of a bleeding tendency. 4. Call the Department of Social Services (DSS) to report this sign of abuse.