A client returns to the unit following abdominal surgery. The ...

[kshipps]

A client returns to the unit following abdominal surgery. The client has an order for Demerol IM PRN for severe pain or Tylenol 3 PO PRN for mild to moderate pain.
 
  The nurse asks the client whether she is experiencing pain now, and the client says, Yes, I am. Which of these actions should the nurse take next? a. Administer Demerol, since the client is less than 24 hours postoperative.
  b. Administer Tylenol 3, and if pain is not relieved, administer Demerol.
  c. Assess the client further as to the location and degree of pain.
  d. Reposition the client, and suggest performing some relaxation exercises.

Question 2

A client with a diagnosis of eczema has been prescribed an inunction and the nurse is performed relevant client education. What instruction should the nurse provide in order to ensure that the client correctly self-administers this medication?
 
  A) Remove the hair from any area where you need to apply your medication.
  B) If you find the medication difficult to apply, you can dilute it slightly with tap water.
  C) Make sure that the skin where you'll apply your medication is clean and dry.
  D) Put ice on your skin for a few seconds before you rub in the medication to help absorption.

[nmyers]

Answer to Question 1

C
A nurse should obtain subjective data about the client's pain, including the client's own description of the pain; its location (where pain occurs); onset and duration (when pain began, how long it has existed, and any pain patterns); quality (what the pain feels like); intensity (how severe the pain is); aggravating and alleviating factors (things that increase or decrease the pain); factors accompanying the pain (impact on daily activities such as sleep and nutrition); and the meaning of pain to the client.

Answer to Question 2

C
Feedback:
Skin surfaces where an inunction is to be applied should be clean and dry. Hair removal and ice application are unnecessary and dilution with water is not normally appropriate.

[kshipps]

Both answers were spot on, thank you once again

[nmyers]

Great! Please up vote