The nurse uses the FLACC Behavioral Scale to assess a 6-year-old's level of postoperative pain and obtains a score of 9 . The nurse interprets this to indicate that the child is experiencing:
A) Little to no pain
B) Mild pain
C) Moderate pain
D) Severe pain
D
Response:
With the FLACC Behavioral Scale, five parameters are measured and scored as 0, 1, or 2 . They are then totaled to achieve a maximum score of 10 . The higher the score, the greater the pain. A score of 9 indicates severe pain.
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A patient with type 1 diabetes takes 12 units of regular insulin and 34 units of NPH insulin in the morning. How would the nurse explain why two different types of insulin are required to control the patient's blood sugar?
A) "Different onsets and peak effects extends blood glucose control." B) "The mixture makes each drug work more effectively." C) "The combination reduces the adverse effects experienced." D) "Patients are less likely to experience hypoglycemia."
The nurse is caring for a postpartal client who is experiencing afterpains following the birth of her third child. Which of the following comfort measures should the nurse implement to decrease her pain? Select all that apply
1. Offer warm blankets for her abdomen. 2. Call the physician to report this finding. 3. Inform her that this is not normal, and she will need an oxytocic agent. 4. Massage the fundus of the uterus gently and observe lochia for clots. 5. Administer a mild analgesic at bedtime to ensure rest. Correct
A patient tells the nurse that he is surprised that he has hepatitis because he didn't "turn yellow" like his friend who had the illness. Which of the following should the nurse respond to this patient?
1. that's a good point; maybe you don't have hepatitis 2. not everyone who has hepatitis develops jaundice 3. are you sure that your friend had hepatitis? 4. jaundice comes about 6 weeks after the disease starts
When a patient in crisis intervention therapy alludes to the possibility of self-harm, the nurse should:
a. arrange for someone to check in on the patient. b. take all steps necessary to ensure the patient's safety. c. advise the patient that such thoughts are common in crisis. d. tell the patient that he or she is too intelligent to consider that as a solution.