A client who is in the acute phase of recovery from a burn injury has yet to experience adequate pain control. The nurse recognizes that which pain management strategy should best meet this client's pain control needs?
A combination of benzodiazepines and topical anesthetics
The use of oral opioids
A patient-controlled analgesia (PCA) system
Distraction and relaxation techniques
The Correct Answer is C
A. A combination of benzodiazepines and topical anesthetics: This is not effective for the deep and constant pain experienced with burns.
B. The use of oral opioids: Absorption may be delayed or unpredictable in critically ill burn clients.
C. A patient-controlled analgesia (PCA) system: PCA provides rapid and individualized control of pain, which is essential in the acute phase.
D. Distraction and relaxation techniques: These are supportive, not primary, strategies for severe pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Formula: 4 mL × Body weight (kg) × %TBSA
4 × 100 × 40 = 16,000 mL total in 24 hours
Half (8,000 mL) is given in the first 8 hours
Answer- 8000ml
Correct Answer is B
Explanation
A. Acute hemolysis: While it is a complication of dialysis, it typically presents with back pain, dark red urine, and hypotension.
B. Disequilibrium syndrome: Caused by rapid removal of urea during dialysis, leading to cerebral edema. Early signs include nausea, headache, restlessness, and confusion.
C. Septic shock: Presents with hypotension, tachycardia, and signs of infection. Not the most likely with nausea and headache alone.
D. Air embolism: Presents with sudden chest pain, dyspnea, and hypotension; not typically with headache and restlessness alone.
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