A client is 2 days postoperative from mitral valve replacement and is in pain at an 8 on a 0 to 10 scale. What interventions can the nurse provide to control the pain before getting to this level? Select all that apply
A) Suggest the client be placed on a patient-controlled analgesia (PCA) pump.
B) Administer a non-narcotic analgesic between prescribed doses of narcotic analgesics.
C) Administer the pain medication prior to the pain becoming severe.
D) Wait until the client asks for the pain medication.
E) Administer the narcotic analgesic more frequently.
A, B, C
Feedback:
Small, frequent self-administration of an opioid drug controls acute pain within consistently tolerable levels. Administer non-narcotic analgesics between prescribed doses of narcotic analgesics. Non-narcotics have a different mechanism of action and are not likely to cause respiratory depression or depressed level of consciousness if given concurrently with narcotics. Pain is more easily controlled by giving analgesic medication before the pain becomes severe, so you would not wait until the client to ask for the pain medication. The nurse cannot administer more of the narcotic than the physician orders.
You might also like to view...
Which of the following statements is a myth surrounding hospice?
a. The patient's personal physician frequently works with an interdisciplinary hospice team of professionals. b. The expense of hospice is rarely covered by private insurers, Medicare, or Medicaid. c. Hospice services are available to patients with any terminal illness, regardless of their religion or spirituality. d. The major focus of hospice is caring, not curing.
Which of the following are classified as palpable solid lesions? Select all that apply
a. Macule b. Papule c. Nodule d. Tumor e. Vesicle f. Bulla
A patient has a tonometer test result of 28 mmHg. Which explanation by the nurse about this pressure reading is most accurate?
1. The pressure in the eye has been measured and is too low. Medication will be required to increase the pressure and prevent blindness from retinal damage. 2. The pressure in the inner ear has been measured to evaluate the semicircular canals' function related to nerve damage and is within the normal range. 3. The pressure in the middle ear that builds up with mastoiditis has been measured. The condition needs to be treated with surgical insertion of tubes to drain the fluid behind the tympanic membrane. 4. The pressure in the eye has been measured and is above normal. This condition could lead to possible retinal changes if not treated.
A 23-year-old sexually active male tells the nurse practitioner that he is worried because he has been having "burning sensation when urinating and a yellowish discharge from his penis." On assessment, the nurse notes that his testicles are swol
What sexually transmitted infection would the nurse suspect? A) Chlamydia B) Syphilis C) Gonorrhea D) HSV