A patient reports significant pain level of 10 on a scale of 1 to 10 to the nurse who is caring for her on the night shift. The patient tells the nurse that she has been at this level since her surgery earlier in the day

The nurse checks the medication administration record and notes that the patient received hydrocodone 7.5 milligrams/acetaminophen with 500 milligrams (Vicodin) every six hours. The nurse brings the patient one and one-half tablets. The patient says, "I never took that. I only had one white pill." What action should the nurse take next?
A. Call the pharmacy and request that they send the dose in one tablet
C. Notify the supervisor of the situation
C. Confront the nurse from the previous shift regarding the patient's report
D. Call the physician and request a different narcotic analgesic


ANS: B

Nursing

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The nurse is monitoring a pregnant client in labor and palpates the abdomen until the end of the contraction. During end of shift report, the nurse states, "Uterus rigidity is comparable to a nose

This client may require an oxytocin drop." Based on this comment, which feature of the contract is the nurse describing? 1. Intensity. 2. Duration. 3. Frequency. 4. Length.

Nursing

Phil is a 54-year-old male with multiple risk factors who has been on a high-dose statin for 3 months to treat his high LDL level. His LDL is 135 mg/dL and his triglycerides are elevated. A reasonable change in therapy would be to:

1. Discontinue the statin and change to a fibric acid derivative. 2. Discontinue the statin and change to ezetimibe. 3. Continue the statin and add in ezetimibe. 4. Refer him to a specialist in managing patients with recalcitrant hyperlipidemia.

Nursing

The nurse is assessing a new admission who is 90 years old and is diagnosed with tuberculosis. The nurse plans to assess this client realizing that the older client may present with symptoms in which of the following ways?

1. Hemoptysis and fever 2. Night sweats 3. Coughing 4. Complaints of joint and bone pain

Nursing

The majority of persons diagnosed with borderline personality disorder are women

Indicate whether the statement is true or false

Nursing