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- 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…An 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 ideasA 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".
- he client is being discharged with nitroglycerin (Nitrostat) for sublingual use. While planning clienteducation, what instruction will the nurse include?a. “Swallow three tablets immediately for pain and call 911.”b. “Put one tablet under your tongue for chest pain. If pain does not subside, you may repeat in 5 minutes, taking no more than three tablets.”c. “Call your health care provider when you have chest pain. He will tell you how many tablets to take.”d. “Place three tablets under your tongue and call 911.”Explain why letter b is the right answer and why the other options are incorrect.A 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 orderDevelop a nursing diagnosis statement using approved NANDA-I language about a patient who has non-verbal communication issues. (**NOTICE NON-VERBAL I AM NOT TALKING ABOUT ORAL COMMUNICATION**). Remember to included the "as evidenced by" and "related to" parts and also make sure it is nursing diagnosis not a medical diagnosis.
- The 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 medicationThe nurse is discharging a patient home after surgery for trigeminal neuralgia. What advice should the nurse provide to this patient in order to reduce the risk of injury? Avoid rubbing the eye on the affected side of the face. Use over-the-counter antibiotic eye drops for at least 14 days. Avoid watching television or using a computer for more than 1 hour at a time. Rinse the eye on the affected side with normal saline daily for 1 week.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
- An elderly patient is receiving antihistamine therapy. What interventions specific to this medication does the nurse implement? (Select all that apply). A. Assess the patient for delirium, confusion and dizziness. B. Auscultate the patient's breath sounds C. Provide a low residue diet. D. Encourage the patient to ambulate E. Monitor the patient's urine outputThe surgeon has prescribed 5/150 mg hydrocodone bitartrate and acetaminophen PO Q6H prn pain. The nurse is reviewing the drug label and preparing to administer the opioid to the client who is complaining of 8 out of 10 RUQ pain. What pain scale was used to assess this client? How many tablet(s) will the nurse administer per dose? (Be sure to include units.) What is meant by 300 mg on the drug label below? If the nurse administers the first dose at 1730 to the client, when can the client have the next dose? What type of order is prn?
