A patient recovering from abdominal surgery is refusing hydromorphone (Dilaudid) because she has heard that people may become addicted. She is crying and rates her pain 10 of 10
Which information should the nurse include as part of the patient's education? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Because the patient will take the medication on a prn basis, addiction cannot occur.
2. Untreated pain can result in poor wound healing.
3. Patients with uncontrolled pain have a higher risk of blood clots.
4. Dehydration can result from poorly managed pain.
5. Family members do not want to visit patients with visible signs of pain.
2,3
Rationale 1: Pain medications should be dosed on a continuous basis after surgery. The use of prn dosing schedules does not guarantee that the patient will not become addicted if the medication is misused.
Rationale 2: Pain has physiological consequences, including poor wound healing.
Rationale 3: Pain has physiological consequences, including coagulation leading to DVT or PE.
Rationale 4: There is no evidence that poor pain relief causes dehydration.
Rationale 5: There is no evidence that poor pain relief causes family members to refuse to visit.
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An emergency department (ED) manager is disciplining a nurse with a history of multiple client and staff complaints. The last disciplinary action was a verbal warning
If the institution follows the progressive method of addressing disciplinary issues, the manager would prepare for which action? 1. A written warning 2. A counseling session 3. Another verbal warning 4. Termination
A male client being treated for gonorrhea asks the nurse if he will experience any complications from the infection. The nurse informs him:
A) "As long as you complete your course of antibiotics you should not have a problem." B) "It can lead to inflammation of the prostate and other glans." C) "If you are concerned about sterility, it only occurs in females." D) "There are no complications but you will need to use a condom when having sexual relations.
A female patient asks the nurse for the best way to prevent sexually transmitted infections. Which of the following should the nurse respond to this patient?
a. use a condom c. use a dental dam b. wear gloves d. have one lifetime sexual partner
According to Jourard, spirituality can be measured on a "spirit titer." Which client does the nurse assess to have a high spirit titer?
A) The client whose spirituality is not evident to others B) The client who expresses distress over a newly diagnosed terminal disease C) A client who works to be an inspiration to others despite hardships D) A client who has experienced multiple life losses who is depressed