11. What information is most accurate regarding the nurse's understanding of pain management? a., Older patients have difficulty describing their pain level. b., Encourage patients to report pain before the pain becomes too severe. C., Use the smallest dose of medication possible to control pain. d., Pain medication administration ordered PRN will maintain a constant blood level.
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- 1). 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…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. Intramuscularly1) 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…
- When developing the plan of care for a patient with chronicpain, the nurse plans interventions based on the knowledgethat chronic pain is most effectively relieved when analgesicsare administered in what matter?a. On a PRN (as needed) basisb. Conservativelyc. Around the clock (ATC)d. IntramuscularlyA nurse formulates the following diagnosis for an elderlypatient who is having trouble getting to sleep at night: Disturbed Sleep Pattern: Initiation of Sleep. Which of the fol-lowing nursing interventions would the nurse perform related to this diagnosis? Select all that apply.a. Arrange for assessment for depression and treatment.b. Discourage napping during the day.c. Decrease fluids during the evening.d. Administer diuretics in the morning.e. Encourage patient to engage in some type of physicalactivity. f. Assess medication for side effects of sleep pattern distur-bances.35) The nurse is providing treatment education to the caregiver of a school-age child recently diagnosed with attention- deficit/hyperactivity disorder (ADHD). Which statements made by the caregiver demonstrate an understanding of the education? (Select all that apply) A. Creat an organization chart for tasks B. Understand that non-stimulant medication shows little benefit in treatment. C. Know that medication is the best approach to treatment. D. Anticipate being automatically entered into a specialized education plan. E. Maintain a consistent home schedule. F. Designate an establish area for study. are in BI U The immunization for measles, mumps, and rubella (MMR) should be 36) to
- A nurse who is assessing an older female patient in a long-term care facility notes that the patient is at risk for sensory deprivation related to severe rheumatoid arthritis limiting heractivity. Which interventions would the nurse recommendbased on this finding? Select all that apply.a. Use a lower tone when communicating with thepatient.b. Provide interaction with children and pets.c. Decrease environmental noise.d. Ensure that the patient shares meals with otherpatients.e. Discourage the use of sedatives.f. Provide adequate lighting and clear pathways ofclutter.1. The nurse is providing education to a 26-year-old female about the procedure she will have in the morning. The nurse notes that the patient is restless and her respirations have increased. The patient is having problems listening and seems irritable. What action should the nurse take first? a.Use therapeutic communication to find the source of anxiety, and provide education b.Inform the charge nurse immediately, that the patient needs a STAT EKG c.Administer Lorazepam, and help the patient sleep d.Call the physician immediately, the patient is having a pulmonary embolism 2. An obese 55-year-old male is about to be transported to the cath lab for an angiography. Which of the following would be important for the nurse to ask before calling report to the cath lab nurse? a. Do you have any allergies, and are you allergic to shellfish? b. Did you remain NPO for at least 2 hours? c. Do you have a history of coronary artery disease? d. Do you have any metal in your body? 3. A MedSurg…To prevent the incidence of the development of a DVT for a patient after orthopedic surgery, which of the following interventions would the nurse employ? (SATA) A. Maintain strict bed rest with bathroom privileges only. B. Increase oral fluids C. Administer anticoagulant medications as ordered D. Ensure sequential compression devices are in use when patient is non-ambulatory E. Minimize flexing of the lower extremity without a physical therapist present
- 5. Morphine sulphate is administered every four hours to a client with renal lithiasis to treat pain and renal colic. Which evaluation result should cause the nurse to provide a PRN dosage of naloxone? A. Unresponsive to verbal or tactile stimuli. B. Respiratory rate of 12 breath/minute. C. Statements about visual hallucinations. D. Complaints of increasing flank pain.A nurse administers an opioid analgesic to a patient with moderate pain. The medication is ordered as needed every 3 hours. 50 minutes later the patient states that she has had little relief. The nurse should do which of the following:A. Plan to place the patient in a position of comfort for pain reliefB. Administer another dose of the medication to the patientC. Consult with the healthcare provider about the client's reportD. State "I can administer the medication to you in about two hours".The nurse is receiving an older adult client from the PACU. Part of the report had been passed on from the preoperative assessment where it was noted that the client has been agitated in the past following opioid administration. What principle should guide the nurse's management of the client's pain? a. The elderly may require lower doses of medication and are easily confused with new medications. b. The elderly may have altered absorption and metabolism, which prohibits the use of opioids. c. The elderly may be confused following surgery, which is an age-related phenomenon unrelated to the medication. d. The elderly may require a higher initial dose of pain medication followed by a tapered dose.