A patient is admitted to the trauma unit with the diagnosis of spinal cord injury resulting from an ATV accident. The health care provider has diagnosed the patient as a paraplegic
Which of the following is one of the most important topics for patient teaching to prevent further injury to the patient? a. Reminding him that he can be injured and not feel pain below his waist
b. Suggesting that his parents purchase a motorized wheelchair to prevent arm muscle strain
c. Reminding the patient to decrease fluid intake due to lack of mobility
d. Reminding the patient to drink plenty of fluids to maintain hydration
A
Some patients such as those with spinal cord injuries are unable to sense painful stimuli. You must take special precautions to protect them from additional injury. Safety is the number one priority for this patient due to lack of sensation and movement in the lower extremities. Providing precautions against taking too much pain medication and reminding the patient to drink plenty of fluids to maintain hydration are important interventions. Determination of which type of wheelchair the patient will need would be determined by the health care team closer to discharge. Pain processes require an intact peripheral nervous system and spinal cord. Common factors that disrupt the pain experience include trauma, drugs, tumor growth, and metabolic disorders.
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A 2-year-old child has been brought to the clinic for a well-child checkup. The best way for the nurse to begin the assessment is to:
a. Ask the parent to place the child on the examining table. b. Have the parent remove all of the child's clothing before the examination. c. Allow the child to keep a security object such as a toy or blanket during the examination. d. Initially focus the interactions on the child, essentially ignoring the parent until the child's trust has been obtained.
The population health nurse is concerned that a client is at risk for developing a mental health disorder. Which psychological risk factors did the nurse assess to make this clinical determination? (Select all that apply.)
1. Ninth grade education. 2. Short-tempered with staff. 3. Critical of health care workers. 4. Recently lost both parents to death. 5. Employed as a food service worker.
The nurse is aware that patients who have chronic gastritis from renal failure may present with which first sign of this disorder?
a. An increase in the white blood cell count b. Sudden massive hemorrhage c. Asthma-like symptoms d. Extreme dyspnea
Eszopiclone (Lunesta) is a hypnotic agent with a rapid onset of action, intermediate duration of action, and a half-life of 6 hours. Using half-life, at approximately what time would a dose administered to a patient at 8 a.m. be reduced to 50 percent?
A. 2 p.m. B. 6 p.m. C. 4 p.m. D. 12 p.m.