This topic contains a solution. Click here to go to the answer

Author Question: A patient with developmental disabilities and poor verbal communication skills has been admitted for ... (Read 125 times)

debasdf

  • Hero Member
  • *****
  • Posts: 570
A patient with developmental disabilities and poor verbal communication skills has been admitted for observation after a motor vehicle accident. The patient has been moaning, facial grimacing, and restless since being admitted to the floor.
 
  The nurse needs to first assess the patient for which of the following? a. Safety, because the patient will not use the call light
  b. Hydration, because the patient is not able to verbally communicate his or her needs
  c. Bathroom privileges, because of lack of communication skills
  d. Pain, because the patient is unable to communicate effectively

Question 2

An adult patient has just undergone surgery for repair of a torn left knee anterior cruciate ligament (ACL).
 
  When informing the patient of several pain relief interventions, the nurse most appropriately urges the patient to select which of the following? a. NSAIDs
  b. Nonopioids
  c. Adjuvant therapy
  d. Patient-controlled analgesia pain management



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

qytan

  • Sr. Member
  • ****
  • Posts: 336
Answer to Question 1

D
Patients unable to communicate effectively often require special attention during assessment. Some examples are the following:
 Infants and children
 Patients who are critically ill and/or unconscious
 Patients with dementia
 Patients who are mute or aphasic
 Patients with an intellectual disability
 Patients at the end of life

These patients all require different assessment approaches. However, be alert for subtle behaviors that indicate pain. Note a patient's vocal response (e.g., moaning, crying, gasping), facial movements (e.g., grimacing, clenched teeth, tightly closed eyes), and body movements (e.g., restlessness, increased hand and finger movements, pacing), or inactivity. While the other responses are appropriate, the patient is currently exhibiting signs of pain, making it the priority.

Answer to Question 2

D
In patient-controlled analgesia (PCA), patients benefit from having control over their pain therapy. Patient-controlled analgesia (PCA) is a safe method for a variety of painful conditions, including but not limited to postoperative, traumatic, sickle cell crisis, cancer, and burns. NSAIDs are nonsteroidal anti-inflammatory agents, which are effective in treating mild to moderate pain. NSAIDs act by inhibiting synthesis of prostaglandins and by inhibiting the cellular responses during inflammation. Adjuvants or coanalgesic agents, such as sedatives, anticonvulsants, steroids, antidepressants, antianxiety agents, and muscle relaxants, have analgesic properties, enhance pain control, or relieve symptoms.




debasdf

  • Member
  • Posts: 570
Reply 2 on: Jul 22, 2018
:D TYSM


nyrave

  • Member
  • Posts: 344
Reply 3 on: Yesterday
Great answer, keep it coming :)

 

Did you know?

Blood is approximately twice as thick as water because of the cells and other components found in it.

Did you know?

The strongest synthetic topical retinoid drug available, tazarotene, is used to treat sun-damaged skin, acne, and psoriasis.

Did you know?

Stevens-Johnson syndrome and Toxic Epidermal Necrolysis syndrome are life-threatening reactions that can result in death. Complications include permanent blindness, dry-eye syndrome, lung damage, photophobia, asthma, chronic obstructive pulmonary disease, permanent loss of nail beds, scarring of mucous membranes, arthritis, and chronic fatigue syndrome. Many patients' pores scar shut, causing them to retain heat.

Did you know?

Automated pill dispensing systems have alarms to alert patients when the correct dosing time has arrived. Most systems work with many varieties of medications, so patients who are taking a variety of drugs can still be in control of their dose regimen.

Did you know?

Patients who have been on total parenteral nutrition for more than a few days may need to have foods gradually reintroduced to give the digestive tract time to start working again.

For a complete list of videos, visit our video library