The nurse administers a narcotic to a client who is still complaining of severe pain 15 minutes after administration of the drug. What is the most appropriate response from the nurse?
a. "You should be feeling relief in just a few minutes."
b. "I'll call the doctor to see if I can give you some more."
c. "You're going to have to tough it out until your next dose."
d. "I'll call the pharmacist to see what he says about it."
ANS: A
It typically takes 15 minutes for a narcotic to produce relief for the client.
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Assuming that they have not responded to drug therapy, which of the following clients is likely to be the best candidate for surgical cardiac ablation?
A) A 62-year-old woman with peripheral vascular disease who has experienced multiple episodes of torsade des pointes B) A 75-year-old man with diabetes but no previous heart disease that suddenly develops syncope due to sick sinus syndrome C) A 46-year-old man with unstable angina and a history of myocardial infarction who is found to have long QT syndrome and episodes of frequent ventricular arrhythmias D) A 22-year-old woman with an atrial septal defect who has recurrent paroxysmal atrial flutter with rapid ventricular rate associated with her caffeine intake.
Billi Jo is a new UAP. She is eager and excited about her new job in health care. She is helping the nurse move a client up in bed. The nurse observes that Billi Jo is using all her back muscles and none of her leg muscles to accomplish this task
Which response best provides constructive criticism for Billie Jo? A) "You are not using very good body mechanics" B) "I find when I move clients, it helps to use my leg muscles more and my back muscles less" C) "I hope you are not considering a nursing career because you won't last 2 months if you move clients that way" D) "You were very helpful in moving the client up in the bed"
The two scales that are recommended for assessment of agitation and sedation in adult critically ill patients are the
a. Ramsay Scale and Riker Sedation-Agitation Scale (SAS). b. Ramsay Scale and Motor Activity Assessment Scale (MAAS). c. Riker Sedation-Agitation Scale (SAS) and the Richmond Agitation-Sedation Scale (RASS). d. Richmond Agitation-Sedation Scale (RASS) and Motor Activity Assessment Scale (MAAS).
Julia has just graduated with her Bachelor of Science in Nursing degree from her state university and has begun seeking employment
However, she is anxious about her level of clinical competence due to the fact that she completed far fewer clinical hours than many practicing nurses. Which of the following has the potential to ease Julia's transition to practice? A) Completing a residency or internship at the hospital where she will be employed B) Auditing courses in a nonnursing, health-related discipline C) Working for several months as a nursing assistant in order to gain confidence D) Taking online courses in advanced nursing practice