A patient who is experiencing severe pain is administered a narcotic. What would the nurse write in the plan of care as a desirable and measurable outcome for this patient?
A) A shorter period of time between requests for medication
B) Reduced complaints about limited movement
C) Lack of restlessness and ability to sustain one position
D) Increased autonomy in providing AM care
D
Feedback:
Monitor patient response to the drug (e.g., relief of pain, sedation).When pain is being adequately managed with opioid therapy, a desirable and measurable outcome would be that the patient is able to be more autonomous in providing care in the morning. Shorter periods between requests for medication would not be a desirable outcome because it is not an indicator of pain control given that some patients are reluctant to ask for medicine even though they are in pain. Patients in pain tend not to move for fear of exacerbating the pain, so lack of movement can be an indication the patient is in pain. Just because the patient does not complain of pain doesn't mean he isn't experiencing pain.
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a. Intermittent constipation with periods of diarrhea b. Awakens at night with diarrhea c. History of international travel d. All of the above
A client, recovering from an extended illness, is having difficulty coordinating his movements to walk. The nurse should remind the client that skeletal muscle has which of the following normal properties?
1. It is automatic. 2. It is convulsive. 3. It is involuntary. 4. It is voluntary.
A nurse plans discharge for an older woman from China who is living with her son. Which of the following should be included in this plan to indicate that the nurse understands cultural influences?
A) Include all family members in discharge planning. B) Ensure that the discharge plan does not include any technologic aspects. C) Review the discharge plans with the client and her son. D) Speak only with the client.