The laboring client has rated her pain at 9 on a scale of 110, ...

[jilianpiloj]

The laboring client has rated her pain at 9 on a scale of 110, and requests IV pain medication. Which statement is most important for the nurse to make? Narcotic medications:
 
  1. May make you unsteady. You need to ask for help when you get up.
  2. Have a very rapid onset, and begin to work in 23 minutes.
  3. Are metabolized by your body, so they don't last as long as an epidural.
  4. May cause sleepiness in the baby that can be reversed with Narcan.

Question 2

The home care nurse is seeing a client at six weeks postpartum. Which statement made by the client requires immediate intervention?
 
  1. The baby sleeps seven hours each night now.
  2. My flow is red, and I need to wear a pad.
  3. My breasts no longer leak between feedings.
  4. I started back on the pill two weeks ago.

[wfdfwc23]

Answer to Question 1

1
Rationale:
1. Being unsteady when getting up is a common side effect of narcotic medications, and a safety issue; to prevent falls, it is important that clients receiving IV narcotics ask for assistance when they are getting up.
2. Although this is a true statement, safety and fall prevention are more important.
3. Although this is a true statement, safety and fall prevention are more important.
4. Although this is a true statement, safety and fall prevention are more important. The client might not know that respiratory depression can occur, or understand what reversal is. This is technical information that the client has not asked for.

Answer to Question 2

2
Rationale:
1. This is an expected finding, and does not require intervention.
2. By six weeks postpartum, lochia should be minimal in amount, requiring only a pantiliner, and should be brown or pinkish in color. Red, heavy flow is not an expected finding, and requires intervention.
3. This is an expected finding, and does not require intervention.
4. This is an appropriate time frame for restarting birth control pills, and does not require intervention.

[jilianpiloj]

TYSM

[sultana.d]

Gracias!