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
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- 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. Intramuscularly1). 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…A patient is reporting pain 2 days after a below the knee (BKA) amputation. which nursing intervention should be considered while treating this patient?a. offer non- pharmacologic measures in addition to the current prescribed medicationb. monitor the serum drug level of the prescribed analgesic as neededc. treat the pain only as it occurs in order to prevent drug addictiond. do not provide any pain relief measures since the patient is 2 days post-op
- Following a fall that left an elderly male patient temporarilybedridden, the nurse is using the SPICES assessment toolto evaluate him for cascade iatrogenesis. Which are correctaspects of this tool? Select all that apply.a. S – Senilityb. P – Problems with feedingc. I – Irritablenessd. C – Confusione. E – Edema of the legsf. S – Skin breakdownThe nurse is providing teaching to a client who has schizophrenia about thioridazine. Which of the following instructions should the nurse include in the teaching?a. Report any signs of infection to the provider immediatelyb. Muscle rigidity is an expected adverse effect during the first few days of therapyc. Expect your blood pressure to increased. Easy bruising may occur while taking this medicationA physician orders a pain medication for a postoperativepatient that is a PRN order. When would the nurse administerthis medication?a. A single dose during the postoperative periodb. Doses administered as needed for pain reliefc. One dose administered immediatelyd. Doses routinely administered as a standing order
- A nurse is caring for a patient who has crippling rheumatoidarthritis. Which nursing intervention best represents the useof integrative care?a. The nurse administers Naproxen (Aleve) and uses guidedimagery to take the patient’s mind off the pain.b. The nurse prepares the patient’s physician-approved herbaltea and uses meditation to relax the patient prior to bed.c. The nurse administers Naproxen (Aleve) and performsprescribed range-of-motion exercises.d. The nurse arranges for acupuncture for the patient anddesigns a menu high in Omega-3 fatty acids.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.A nurse is preparing to administer codeine 30 mg PO every 4 hr PRN to a client for pain. Theamount available is codeine oral solution 15 mg/5 ml. How many ml should the nurse planto administer per dose? (Round the answer to the nearest whole number. Use a leading zero ifit applies. Do not use a trailing zero.)
- Before administering zolpidem at bedtime, which client assessment should the practical nurse (PN) complete? A Mental status. B Skin integrity. C Body temperature. D Bowel sounds.A responsibility of the nurse is the administration of preop-erative medications to patients. Which statements describe the action of these medications? Select all that apply.a. Diazepam is given to alleviate anxiety.b. Ranitidine is given to facilitate patient sedation.c. Atropine is given to decrease oral secretions.d. Morphine is given to depress respiratory function.e. Cimetidine is given to prevent laryngospasm.f. Fentanyl citrate–droperidol is given to facilitate a senseof calm.When assessing a patient receiving a continuous opioid infu-sion, the nurse immediately notifies the physician when the patient has:a. A respiratory rate of 10/min with normal depthb. A sedation level of 4c. Mild confusiond. Reported constipation