When a nurse asks a client to describe what a particular pain feels like, the nurse is attempting to identify which of these aspects of the client's pain experience?
a. aggravating factors c. onset and duration
b. intensity d. quality
D
A nurse should obtain subjective data about the client's pain, including the client's own description of the pain; its location (where pain occurs); onset and duration (when pain began, how long it has existed, and any pain patterns); quality (what the pain feels like); intensity (how severe the pain is); aggravating and alleviating factors (things that increase or decrease the pain); factors accompanying the pain (impact on daily activities such as sleep and nutrition); and the meaning of pain to the client.
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The nurse is caring for a patient who lost her husband 1 year ago. The patient and her husband had been married for 55 years. The patient no longer takes care of herself or cooks and rarely eats, stating she has no appetite
The nurse determines that the nursing diagnosis of Complicated grieving applies to the patient. Which is the priority goal for the patient at this time? a. The patient will shower every other day and eat at least two meals a day. b. The patient will identify personal strengths that will increase coping ability. c. The patient will discuss the meaning of her loss with a family member or close friend. d. The patient will be provided with phone numbers for local community resources.
While speaking to a senior citizen club about osteoarthritis (OA), which of the following facts are accurate to share? Select all that apply
A) By the time you are in your 70s, about 85% of adults will have some form of OA B) Men usually get OA in their hands, whereas women get OA primarily in their hips C) Obesity in women has been correlated to having OA in the knees D) Heredity does not play a significant role in the development of OA
A client with heart failure informs the nurse he has not had a bowel movement in 2 days. Why would it be important for the nurse to obtain an order for a stool softener?
A) Straining causes the Valsalva maneuver, which can cause dangerous effects. B) The client should not develop hemorrhoids. C) The client can develop a rectal fissure, which will increase pain levels. D) The client should have a bowel movement every day to avoid development of an intestinal obstruction.
An opioid antagonist should be readily available before administering
a. penicillin c. oxytocin b. meperidine d. epinephrine