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- During a nurses assessment of a patient's abdominal pain, the nurse asks where the pain is located. Which part of the PQRST assessment is the nurse asking about? OT1). Due to the client’s diagnosis of low back pain, cyclobenzaprine is prescribed. Which instructionsshould the nurse teach the client? Select all that applyA. Take the medication just before leaving home for work each day.B. Drink a full glass of water with each dose of medication.C. The medication can cause drowsiness that will make driving unsafe.D. Divide the dose of medication between early morning and bedtime.E. Encourage the client to change positions slowly. 2).The nurse working in the postanesthesia care unit (PACU) recovering a male client after anexploratory laparotomy administers the prescribed hydromorphone intravenously. Five minuteslater the nurse assess the client’s respirations at 8 breaths per minute. Which interventionshould the nurse implement first?A. Ask the anesthesiologist to come and assess the client.B. Administer naloxone intravenously.C. Re-assess the client’s respiratory status in 20 minutes.D. Use an ambu bag and ventilate the client. 3).An adolescent…The client who has had abdominal surgery is complaining of pain and tells the nurse, “I felt something pop in my stomach.” Which intervention should the nurse implement first? 1. Check the client’s apical pulse and blood pressure. 2.Determine the client’s pain on a 1 to 10 pain scale. 3. Assess the client’s surgical wound site. 4. Administer pain medication intravenously.
- 1) The nurse has administered an opioid analgesic to a client. Which interventions should the nurse implement? Select all that applyA. Discuss with the physician starting the client on a stool softener.B. Teach the client about rating the pain on a numeric pain scale.C. Inform the client to rise quickly from a supine position.D. Tell the client to call for assistance when getting out of bed. 2). Mrs. Lee has been taking ibuprofen for the last 2 months. She has noticed both her knees are occasionally red and warm when she touches them. She has observed that besides her knee pain, the joints in her hands have been red with some swelling. The physician diagnoses Mrs. Lee with rheumatoid arthritis and gout. He starts her on allopurinol 100mg PO every day and celecoxib 100mg PO BID for pain. In teaching Mrs. Lee about her new medication regimen: You describe to Mrs. Lee how allopurinol will help in the management of her joint pain. What is your best explanation?A. “Allopurinol reduces the…The nurse is practicing the therapeutic communication technique of broad opening. Which of thefollowing statements by the nurse best demonstrates a correct understanding of this technique?a. “How do you feel when you are arguing with your daughter?”b. “What are you thinking about?”c. “Are you planning on hurting yourself?”d. “You are biting your fingernails. Is something bothering you?”When the nurse is talking with a client who is experiencing "lightening." the client would most likely state which of the following? a. "lcan breathe easier now." b. I don't have to urinate as often now." c. My lower back pain is gone now. d. My feet are more swollen than before."
- A patient complains of abdominal pain that is difficult tolocalize. The nurse documents this as which type of pain?a. Cutaneousb. Visceralc. Superficiald. SomaticAn older client is having photocoagulation for macular degeneration. Which intervention should the nurse implement during the postprocedure care in the outpatient surgical unit? A. Arrange food on the plate in clockwise order B. Apply bilateral eye patches while sleeping C. Verbally identify self when entering the room D. Use a white board to communicate ideasb. What would you do in response to the patient’s request for an antialcohol agent? Do you believe that the client is an appropriate candidate for an antialcohol agent? If so, which medication? c. List nursing diagnoses that may be applicable to the patient’s situation. Identify priority problem and prepare a nursing care plan.
- A client who is recovering from an appendectomy is receiving narcotics, earlier the nurse witnessed the client’s family pushing the pain pump, what should the nurse implement? A. Check client’s level of consciousness B. Instruct the family not to push the button C. Stop the client’s basal infusion D. Administer a narcotic reversal medication5) The nurse is assessing a toddler who is admitted with suspected intussusception and presents with vomiting, and blood and mucus present in the stools. Which action should the nurse implement first? A. Insert a nasogastric tube to low intermittent suction. B. Maintain NPO status and initiate IV fluid hydration. C. Use a faces pain scale to medicate for pain as prescribed. D. Prepared for radiographic studies to determine treatment options.When developing the plan of care for a patient with chronic pain, the nurse plans interventions based on the knowledge that chronic pain is most effectively relieved when analgesics are administered in what matter? a. On a PRN (as needed) basis b. Conservatively c. Around the clock (ATC) d. Intramuscularly