An older aphasic patient has severe osteoarthritis, bilateral contractures of the lower extremities, and a stage IV pressure ulcer. The nurse practitioner prescribes analgesic medi-cations to be administered around-the-clock, with as-needed doses to be ad
to be administered as appropriate. What observation by the nurse would indicate that the pain regimen is effective? Select all that apply.
a. Pa-tient slept throughout the night.
b. Pa-tient winces only when turned and repositioned.
c. Pa-tient slept during dressing change.
d. Pa-tient compliant with attempts to provide AM care.
e. Pa-tient ate 80 of breakfast, 70 of lunch and 100 of dinner
Question 2
An older patient who was recently admitted to the subacute setting after having a knee replacement, is very anxious and refuses to get out of bed, stating that it is too painful. Which intervention will the nurse implement?
a. Share with the patient that it's important to get out of bed and that there is pain medication available if it does hurt
b. Use the Hoyer lift to get her out of bed so that the knee will not experience much move-ment and so there will be little pain.
c. Offer pain medication, administer the medication, and wait 20 minutes before getting her out of bed.
d. Allow the patient to remain in bed but share that getting up will be required at least twice a day starting the next morning.
Documenting the health history is a crucial step in providing patient care
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This graph illustrates how unattached older adults are poorer than their peers who live in families