A nurse is caring for an adolescent who is receiving treatment for burns and is requesting medication for pain. Which of the following questions should the nurse ask to determine the quality of the adolescent's pain?
"Can you describe what your pain feels like?"
"Can you point to the area where your pain is most severe?"
"What is your pain level on a scale of 0 to 10?"
"When did your pain start increasing?"
The Correct Answer is A
A. Asking the adolescent to describe the quality of their pain can provide valuable information about the characteristics of the pain, such as sharp, dull, throbbing, or burning.
B. Asking the adolescent to point to the area of most severe pain assesses location, not quality.
C. Asking about pain level assesses intensity, not quality.
D. Asking about the timing of pain increasing assesses onset, not quality.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["500"]
Explanation
To calculate the dose of erythromycin per administration, you can follow these steps:
- Determine the total daily dose: 2 g.
- Divide the total daily dose by the number of equally divided doses per day: 2 g / 4 doses =
0.5 g per dose.
- Convert grams to milligrams: 0.5 g * 1000 mg/g = 500 mg.
So, the nurse should administer 500 mg of erythromycin per dose.
Correct Answer is C
Explanation
A. Amphotericin B lipid complex naturally appears as an opaque, yellow to amber colored suspension. Discarding the medication because it is yellow is incorrect, as this is its expected normal appearance.
B. Amphotericin B lipid complex is highly incompatible with saline solutions and will precipitate if it comes into contact with them. The IV tubing must be primed and flushed strictly with 5% Dextrose in Water (D5W), not 0.9% sodium chloride.
C. The standard recommended administration protocol for amphotericin B lipid complex is to deliver the intravenous infusion at a rate of 2.5 mg/kg/hour, which typically translates to an overall infusion duration of approximately 2 hours.
D. To avoid accidental rapid infusion, which can induce severe adverse effects such as acute hypotension, cardiac arrhythmias, and cardiopulmonary arrest, amphotericin B must always be regulated by an electronic infusion pump rather than a manual gravity flow set.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.