Author Question: A client with a broken arm has had ice placed on it for 20 minutes. A short time after the ice was ... (Read 42 times)

newbem

  • Hero Member
  • *****
  • Posts: 579
A client with a broken arm has had ice placed on it for 20 minutes. A short time after the ice was removed, the client reports that the effect has worn off and requests pain medication, which cannot be given yet.
 
  What actions by the nurse are most appropriate? (Select all that apply.)
 
  a.
  Ask for a physical therapy consult.
  b.
  Educate the client on cold therapy.
  c.
  Offer to provide a heating pad.
  d.
  Repeat the ice application.
  e.
  Teach the client relaxation techniques.

Question 2

A postoperative client has an epidural infusion of morphine and bupivacaine (Marcaine). What actions does the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)
 
  a. Ask the client to point out any areas of numbness or tingling.
  b. Determine how many people are needed to ambulate the client.
  c. Perform a bladder scan if the client is unable to void after 4 hours.
  d. Remind the client to use the incentive spirometer every hour.
  e. Take and record the client's vital signs per agency protocol.



HandsomeMarc

  • Sr. Member
  • ****
  • Posts: 360
Answer to Question 1

ANS: B, D, E
Nonpharmacologic pain management can be very effective. These modalities include ice, heat, pressure, massage, vibration, and transcutaneous electrical stimulation. Since the client is unable to have more pain medication at this time, the nurse should focus on nonpharmacologic modalities. First the client must be educated; the effects of ice wear off quickly once it is removed, and the client may have had unrealistic expectations. The nurse can repeat the ice application and teach relaxation techniques if the client is open to them. A physical therapy consult will not help relieve acute pain. Heat would not be a good choice for this type of injury.

Answer to Question 2

ANS: C, D, E
The UAP can assess and record vital signs, perform a bladder scan and report the results to the nurse, and remind the client to use the spirometer. The nurse is legally responsible for assessments and should ask the client about areas of numbness or tingling, and assess if the client is able to bear weight and walk.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

The senior population grows every year. Seniors older than 65 years of age now comprise more than 13% of the total population. However, women outlive men. In the 85-and-over age group, there are only 45 men to every 100 women.

Did you know?

The term bacteria was devised in the 19th century by German biologist Ferdinand Cohn. He based it on the Greek word "bakterion" meaning a small rod or staff. Cohn is considered to be the father of modern bacteriology.

Did you know?

More than 34,000 trademarked medication names and more than 10,000 generic medication names are in use in the United States.

Did you know?

Eating food that has been cooked with poppy seeds may cause you to fail a drug screening test, because the seeds contain enough opiate alkaloids to register as a positive.

Did you know?

Ether was used widely for surgeries but became less popular because of its flammability and its tendency to cause vomiting. In England, it was quickly replaced by chloroform, but this agent caused many deaths and lost popularity.

For a complete list of videos, visit our video library