Which client does the nurse assess first for pain control?
a. Older client with chronic rheumatoid arth-ritis
b. Client postoperative day three walking in the hallway
c. Sleeping client with an epidural pump
d. Quiet client with pancreatic cancer curled up in bed
D
The pain of pancreatic cancer is usually severe. This client should be assessed first because the client's present behavior may indicate suffering and pain. The client with arthritis has had this condition for a while and may not be experiencing severe pain. The client who is walking in the hallway and the client who is sleeping do not demonstrate nonverbal pain behaviors.
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Identify the reasons nurses may need to carry their own malpractice insurance. Select all that apply
a. their institution's insurance may not cover them if they fail to comply with its policies and procedures. b. nurses are being named individually in lawsuits. c. their institution may fail to cover them if they acted outside the scope of their employment. d. nurses are being considered easy targets for lawsuits.
A client is receiving multiple ophthalmic drugs. Which of the following ophthalmic preparations would the nurse administer to the client for the purpose of treating increased intraocular pressure? Select all that apply.
A) Brimonidine (Alphagan) B) Apraclonidine (Iopidine) C) Tobramycin (TobraDex) D) Ofloxacin (Ocuflox) E) Ganciclovir (Vitrasert)
The critical care nurse wants a better understanding of when to initiate an ethics consult. After attending an educational program, she understands that the following situation would require an ethics consultation:
a. Conflict has occurred between the physician and family regarding treatment decisions. A family conference is held, and the family and physician agree to a treatment plan that includes aggressive treatment for 24 hours followed by re-evaluation. b. Family members disagree as to a patient's course of treatment. The patient has designated a healthcare proxy and has a written advance directive. c. Patient postoperative coronary artery bypass surgery who sustained a cardiopulmonary arrest in the operating room. He was successfully resuscitated, but now is not responding to treatment. He has a written advance directive and his wife is present. d. Patient with multiple trauma and is not responding to treatment. No family members are known, and care is considered futile.
The nurse is caring for an older patient with hypothyroidism. Which manifestations would the nurse anticipate? Select all that apply.
1. Dry skin 2. Weight loss 3. Vomiting 4. Bradycardia 5. Periorbital swelling