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Author Question: The patient is admitted with exposure to an unknown chemical. His clothing appears to be grossly ... (Read 129 times)

vinney12

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on: Jun 25, 2018
The patient is admitted with exposure to an unknown chemical. His clothing appears to be grossly contaminated. What should the nurse do? (Select all that apply.)
 
  a. Avoid touching contaminated parts of clothing.
  b. Pull the patient's tee shirt off over his head.
  c. Cut the patient's clothes off.
  d. Wash the patient with large amounts of soap and water.

Question 2

The nurse frequently must assess a patient who is experiencing pain. When assessing the intensity of the pain, the nurse should:
 
  a. ask whether there are any precipitating factors.
  b. question the patient about the location of the pain.
  c. offer the patient a pain scale to objectify the information.
  d. use open-ended questions to find out about the sensation.


Christopher

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Reply #1 on: Jun 25, 2018
Answer to Question 1

A, C, D
Remove all of the patient's clothing, but do not pull it over the patient's head; instead, cut garments off. Act quickly, and avoid touching contaminated parts of clothing as much as possible. Decontaminate the patient using large amounts of soap and water to wash the patient thoroughly.

Answer to Question 2

C
Descriptive scales are an objective means of measuring pain intensity. Use a pain intensity scale appropriate to the patient's age, developmental level, and comprehension, and ask the patient to rate the pain. An appropriate pain rating scale is reliable, easily understood, and easy to use, and it reflects changes in pain intensity. Asking the patient what precipitates the pain does not assess intensity, but rather assesses the pain pattern. Asking the patient about the location of pain does not assess the intensity of the patient's pain. To determine the quality of the patient's pain, the nurse may ask open-ended questions to find out about the sensation experienced (e.g., Tell me what your pain feels like). This approach assists in identifying the underlying pain mechanism (e.g., somatic or neuropathic pain), but it may not reveal intensity or changes in intensity.


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