Author Question: Rhonda has been a registered nurse for more than 20 years. She has had a lot of experience caring ... (Read 55 times)

newbem · **on:** Jul 22, 2018

Rhonda has been a registered nurse for more than 20 years. She has had a lot of experience caring for postsurgical patients.

When Theresa, a student nurse, asked Rhonda why many of the seasoned nurses working on the surgical unit don't give their patients the full amount of pain medication ordered by the surgeon, Rhonda replied that the literature shows that many nurses don't give the full amount of pain medication because they: A. do not believe that the patient is experiencing that much pain.
B. do not want to contribute to pain medication addiction.
C. believe that limiting the amount of pain medication lowers costs.
D. are concerned about drug interactions with pain medication and other postsurgical medications.

Question 2

A 66-year-old patient in an acute care hospital who underwent surgery for an abdominal aneurysm developed a urinary tract infection 3 days after placement of a Foley catheter.

The nurse believes that this is a reportable incident, and which of the following will happen as a result? A. Medicare will be denied to the patient.
B. The hospital may lose all Medicare funding.
C. Nothing; it is not a reportable incident.
D. Medicare will not reimburse the hospital for her care.

leeeep · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Many nurses avoid acknowledging a patient's pain because of their own fear of contributing to addiction. These fears and beliefs lead to mistrust between the nurse and patient, increased pa-tient recovery time, increased complications and mortality, increased psychological problems, and increased cost.

Answer to Question 2

D
The act Hospital-Acquired Conditions and Present on Admission Indicator Reporting identified eight conditions that are preventable through the application of evidence-based guidelines: object left in surgery, air embolism, blood incompatibility, catheter-associated urinary tract infection, pressure ulcers, vascular catheter-associated infection, surgical site infection after coronary artery bypass graft surgery, and falls and trauma. The government will not financially reimburse acute care hospitals if a patient acquires one of these eight conditions during hospitalization.