Author Question: A nurse is caring for a postoperative client who reports discomfort, but denies serious pain and ... (Read 32 times)

jjjetplane · **on:** Jun 25, 2018

A nurse is caring for a postoperative client who reports discomfort, but denies serious pain and does not want medication. What action by the nurse is best to promote comfort?

a. Assess the client's pain on a 0-to-10 scale.
b. Assist the client into a position of comfort.
c. Have the client sit up in a recliner.
d. Tell the client when pain medication is due.

Question 2

A postoperative client has respiratory depression after receiving midazolam (Versed) for sedation. Which IV-push medication and dose does the nurse prepare to administer?

a. Flumazenil (Romazicon) 0.2 to 1 mg
b. Flumazenil (Romazicon) 2 to 10 mg
c. Naloxone (Narcan) 0.4 to 2 mg
d. Naloxone (Narcan) 4 to 20 mg

softEldritch · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
Several nonpharmacologic comfort measures can help postoperative clients with their pain, including distraction, music, massage, guided imagery, and positioning. The nurse should help this client into a position of comfort considering the surgical procedure and position of any tubes or drains. Assessing the client's pain is important but does not improve comfort. The client may be more uncomfortable in a recliner. Letting the client know when pain medication can be given next is important but does not improve comfort.

Answer to Question 2

ANS: A
Flumazenil is a benzodiazepine antagonist and would be the correct drug to use in this situation. The correct dose is 0.2 to 1 mg. Naloxone is an opioid antagonist.