The nurse is planning to administer a pain medication to a patient who has just returned to the unit following bowel resection surgery. The patient has four standing orders for pain medication. Which order should the nurse select?
1. The one to be administered intravenously by patient demand and under patient control
2. The one to be given intramuscularly to work quickly
3. The one ordered on a prn basis
4. The one to be administered orally
1
Rationale 1: Patient-controlled analgesia allows self-management of pain and is a common postoperative method of administering pain medication. The advantages to this method are dose precision, timeliness, and convenience.
Rationale 2: The medication that is administered intramuscularly is not typically recommended for moderate to severe pain that will require more than one dose.
Rationale 3: Administering a prn medication this soon after a major surgery would not be the most effective strategy.
Rationale 4: Administering an oral medication this soon after a major surgery would not be the most effective strategy.
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Which of the following health problems has been reduced in school-aged and adolescent children?
a. Chronic diseases (such as asthma or diabetes) b. Contagious diseases c. Sexually transmitted diseases (STDs) d. Stomach flu (viral gastroenteritis)
The nurse assists the client to the bathroom, which is approximately 10 feet from the bed. The client ambulates 3 feet and states, "I cannot catch my breath." How would the nurse document this finding?
A) "Can't walk without becoming short of breath." B) "Has paroxysmal nocturnal dyspnea when walking." C) "Has orthopnea when walking." D) Experiences exertional dyspnea when walking 3 feet; states, "I cannot catch my breath."
The charge nurse observes the following actions being taken by a new nurse on the burn unit. Which action by the new nurse would require an intervention by the charge nurse?
a. The new nurse uses clean latex gloves when applying antibacterial cream to a burn wound. b. The new nurse obtains burn cultures when the patient has a temperature of 95.2° F (35.1° C). c. The new nurse administers PRN fentanyl (Sublimaze) IV to a patient 5 minutes before a dressing change. d. The new nurse calls the health care provider for a possible insulin order when a nondiabetic patient's serum glucose is elevated.
Of the situations listed, which is the best example of collaboration between the levels described in the model of EBP collaboration?
a. A health care organization funds a group of nurses to attend a research conference related to practice areas that have had less than desirable outcomes in the past year. b. An individual nurse searches databases for the best evidence to support practice with a population of clients on a particular unit. c. A participant at a national nursing organization conference listens attentively to presenters related to the most relevant topics for the population served. d. A staff nurse uses findings from the Joanna Briggs Institute to support an EBP project, evaluates outcomes, and reports the findings at an international conference.