NU 473 - Exam 3 Exam full solution packxam Questions and Answers 2024
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Course
NU 473
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NU 473
0-10 Numeric Rating Scale for pain - indications - Adults and children (>9 years old) in all patient
care settings who are able to use numbers to rate the intensity of their pain.
8 domains to comprehensive and humane approach to care of the dying - Structure and process
of care. Physical asp...
NU 473 - Exam 3 0-10 Numeric Rating Scale for pain - indications - Adults and children (>9 years old) in all patient care settings who are able to use numbers to rate the intensity of their pain. 8 domains to comprehensive and humane approach to care of the dying - Structure and process of care. Physical aspects of care. Psychological and psychiatric aspects of care. Social aspects of care. Spiritual, religious, and existential aspects of care. Cultural aspects of care. Care of the patient at the end of life. Ethical and legal aspects of care. A bedside nurse is working with a client who has chronic pain. The client states that the nurses have not been responding to their requests for pain medication. What is the bedside nurse's initial action? A. Check the MAR for the past 3 days B. Ask the nurse educator to provide in -services about pain management C. Perform a complete pain assessment on the client, with a pain history D. Have a conference with the nurses responsible for caring for the client - C. Bedside nurses must assess patient's pain, according to their perception, the function of charge nurses and leadership are different and manage staff A charge nurse is making an assignment for multiple clients. Which are most appropriate for an experienced nurse? A. A client s/p a fall at work with multiple injuries B. A client with chronic back pain related to spinal stenosis C. A client s/p surgery with a chest tube D. A client with food poisoning who has abdominal cramps E. A client with severe migraine of unknown origin F. A client with chest pain and having an acute myocardial infarction - A, C, E, F Unstable, unclear outcome, requires assessment Which should the nurse assess first? F A client was informed that they have a cancerous lump on their breast and need a mastectomy. The nurse is discussing the information with the client and the client states "I am fine, really. The doctor said I have to have surgery on my breast". What is the best response by the nurse? A. "Sounds like a good plan to me" B. "Glad you understand the information" C. "How do you feel about the news?" D. "You must be upset. Can we talk?" - C is correct - open ended and without direction/judgement from the nurse Adult nonverbal pain scale (NVPS) - indications - Adults who are sedated and nonresponsive After -death care - Permanent cessation of respiratory and circulatory functions. The family should be allowed to remain with their loved one. Many different responses to death. Death must be pronounced. The body will change including color, waxy appearance, cool, pooling of blood in dependent areas, urine and stool evacuation. If organ donation and/or autopsy is planned, agencies must be contacted to ensure regulations and timeline followed. After -death rituals - Preparing the family member's body. Funeral practices. Time from work and obligations for family members and loved ones. Grieving tasks (Rando, 1984): (1) Recognizing the loss. (2) Reaction to separation and experiencing/expressing pain with the loss. (3) Relinquish old attachments to the deceased. (4) Readjustment to the new world, without forgetting the old. (5) Reinvestment and rejoin the world. Baclofen - Adverse effects, monitoring - Adverse effects: transient drowsiness, dizziness, weakness, fatigue, constipation, headache, insomnia, hypotension, nausea, urinary frequency. Monitor response to the drug. Monitor for adverse effects. Eval effectiveness of the teaching plan. Monitor effec tiveness of comfort measures and compliance with regimen. Baclofen - indication, MOA, route - Muscle relaxant used to alleviate signs and symptoms of spasticity. MOA: GABA analogue, exact mechanism is not understood, CNS depressant. Route: oral or intrathecal. Behavioral pain scale (BPS) - indications - Useful with intubated, critically ill patients; measurement of bodily indicators of pain; and tolerance of intubation.
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