An older aphasic client has severe osteoarthritis, bilateral ...

[kamilo84]

An older aphasic client has severe osteoarthritis, bilateral contractures of the lower extremities, and a stage IV pressure ulcer.
 
  The nurse practitioner prescribes analgesic medications to be administered around-the-clock, with as-needed doses to be administered as appropriate. What observation by the nurse would indicate that the pain regimen is effective? (Select all that apply.)
  a. Client slept throughout the night.
  b. Client winces only when turned and re-positioned.
  c. Client slept during dressing change.
  d. Client cooperative during morning care.
  e. Client ate 80 of breakfast, 70 of lunch, and 100 of dinner.

Question 2

An older adult is seen in the emergency department after falling and sustaining substantial soft tissue bruising. The assessment interview notes a history of arthritic pain in several joints.
 
  The client is prescribed 650 mg of acetaminophen (Tylenol) four times per day and 800 mg of ibuprofen (Motrin) four times per day for control of the persistent arthritic pain. When providing discharge teaching, the nurse includes information regarding the signs and symptoms of: (Select all that apply.)
  a. gastrointestinal bleeding.
  b. renal impairment.
  c. medication interactions.
  d. confusion.
  e. increased anxiety.

[yuyiding]

Answer to Question 1

ANS: A, C, D, E
A pain cue presented by this client is the wincing when being turned, indicating that this inter-vention is producing pain. The remaining observations are concurrent with effective pain man-agement.

Answer to Question 2

ANS: A, B, C
There is no indication that the patient is at risk for mental status changes such as confusion or in-creased anxiety. The remaining options are directly related to the possible outcomes of long-term pain management with these medications.

[kamilo84]

Excellent

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TYSM