Author Question: A female client has returned to the unit following a hysterectomy. The nurse knows that which ... (Read 56 times)

jho37 · **on:** Jun 25, 2018

A female client has returned to the unit following a hysterectomy. The nurse knows that which intervention will provide the most pain relief for the client?

A) Offer pain relief before the client complains of pain.
B) Assess the pain level every 4 hours around the clock.
C) Wait until the client can describe the pain specifically.
D) Allow the client to sleep off the anesthesia, and then offer pain medication.

Question 2

A nurse is caring for a client with chronic myeloid leukemia (CML) who is neutropenic. Which interventions will the nurse implement to ensure this client's safety?

Select all that apply.
A) Place client in reverse isolation.
B) Place patient in standard precaution isolation.
C) Administer granulocyte colony-stimulating factor (G-CSF) as ordered.
D) Administer neutrophil colony-stimulating factor (N-CSF) as ordered.
E) Administer a prophylactic gram-negative antibiotic.

Chelseyj.hasty · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A

Anticipating a client's pain will ensure a more manageable pain experience than waiting until the client complains of pain. Pain management needs to be implemented prior to the client's describing specific postoperative pain, or sleeping off anesthesia. If the client is asleep, she should not be awakened simply to assess the pain every 4 hours unless there are other significant nonverbal signs during sleep that indicate that the client is in pain. These can include grimacing, moaning, thrashing, or guarding of a surgical site.

Answer to Question 2

Answer: A, C

A client who is neutropenic has a decrease in the level of white blood cells (WBCs) and is susceptible to infection and/or disease. To ensure the safety of the client with neutropenia, the nurse will place the client in reverse isolation, administer granulocyte colony-stimulating factor (G-CSF) as ordered, and administer a broad-spectrum antibiotic as ordered. Standard precautions should be used for all clients and this does not ensure safety of the neutropenic client.