A patient comes to the emergency department and reports pain in the hip. Which patient statement best reflects chronic pain rather than acute pain? 1. "Over-the-counter pain killers do not relieve the pain." 2. "The pain feels like someone stuck me with a knife." 3. "All of a sudden I started having pain in my hip." 4. "This pain has been going on for several weeks."
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- Mr. Jones, 22 yr old AA male, comes into the Emergency Room with an exacerbation of Sickle Cell crisis. States his pain is a 20 out of 10.Give examples of a non-pharmacologic pain relief.Give examples of pharmacological pain relief.Which would be appropriate for the physician to prescribe at this point.The client who has had abdominal surgery is complaining of pain and tells the nurse, “I felt something pop in my stomach.” Which intervention should the nurse implement first? 1. Check the client’s apical pulse and blood pressure. 2.Determine the client’s pain on a 1 to 10 pain scale. 3. Assess the client’s surgical wound site. 4. Administer pain medication intravenously.12. The nurse is assessing a patient's pain. When the patient describes his pain as cramping and burning, which component of the pain history is being addressed? a., Depth b., Location c., Quality d., Severity
- A patient with metastatic osteosarcoma states that he all of a sudden has severe pain. The nurse notes that the patient has a fentanyl patch that was placed a couple of hours ago. What type of pain is this patient experiencing? chronic pain O breakthrough pain referred pain neuropathic painWhat statement by the client with plantar fasciitis indicates a need for further teaching? “I will rest and stretch my feet.” “I will wear supportive shoes.” 3 .” I will use warm packs on my feet.” 4 “I will use nonsteroidal anti-inflammatory drugs (NSAIDs) for comfort.”Mrs. Guico came to the hospital with complaints of pain over all the joints, stiffness which is more in the morning and reduces by the activities. She has these complaints since 5 years and has taken treatment from local hospital. The symptoms were not reducing and came to --MC, Hospital for further management. Patient was able to do the ADL ( activities of daily living ) by herself but the way she performed and the posture she used was making her prone to develop the complications of the disease. She also was malnourished and was not having awareness about the deficiencies and effects. Kindly Collect data ACCORDING TO OREM’S THEORY OF SELF CARE DEFICIT 1. NURSING CARE PLAN ACCORDING TO OREM’S THEORY OF SELF CARE DEFICIT
- Mr. Wright is recovering from abdominal surgery. When thenurse assists him to walk, she observes that he grimaces, moves stiffly, and becomes pale. She is aware that he hasconsistently refused his pain medication. What would be apriority nursing diagnosis for this patient? a. Acute Pain related to fear of taking prescribed post-operative medications b. Impaired Physical Mobility related to surgical procedurec. Anxiety related to outcome of surgeryd. Risk for Infection related to surgical incisionPatient is a 36 year old female with a chief complain of tingling and numbness in her first 3 fingers and thumb of both wrists, mild burning sensations heading proximally in her right arm, trouble grasping objects, and having issues making a fist. The patient has been working as a secretary for the last 10 years. Past medical history Herniated disc between C6-C7. Family history: Moher died of bladder cancer and father has coronary artery disease. Social History Social alcohol usage (a glass of wine every one-two weeks) with friends and family. No Tabaco or recreational drug history. Allergies None Medications Ibuprofen 400 mg when needed. Birth control pill Key Labs, images, or procedures performed in relation to current diagnosis. Nerve conduction study: Median nerve impulse were slower than normal Tinel’s test: Positive. Phalen’s test: Positive Key Physical Examination findings: Tenderness when the wrist was overextended. 1. Provide the diagnosis * 2.…Match the numbered column on the left to the corresponding letter column on the right. Place answers below. 1. DDH 2. seizures 3. SCFE 4. hydrocephaly 5. meningitis 6. Young children incomplete fx 7. Muscular dystrophy 8. Spina bifida 9. Scoliosis 10. Cerebral palsy 11. Baclofen pump A. Bracing, core exercises B. Greenstick C. Juvenile avascular necrosis of femoral head D. decreased sensation below level of defect E. Frequent casting F. Treat spasticity G. Overweight adolescent H. Warm bath in a.m. I. Pavlik harness J. Turn, cough, deep breathe, assess skin K. Protect from injury 12. LCPD L. VP shunt 13. immobility 14. Clubfoot 15. Infant ↑ ICP M. Hib, Prevnar can help prevent N. High-pitched cry O. Not meeting developmental milestones P. Pseudohypertrophy 16. JIA
- MAKE A INTERVENTION AND RATIONALE of these two. 1."The patient will improve the pain management for the abdominal pain and is able to verbalize pain on a scale of 1-10 during therapy." 2. "The patient will relieve abdominal pain"PLEASE HELP ME TO CHOOSE THE LETTER OF THE CORRECT ANSWER. 1. What would be the best response to the client's repeated complaints of pain: A. "I know the feeling is real tests revealed negative results. ~ B. "So tell me more about the pain" C. "I think you're exaggerating things a little bit." D. Try to forget this feeling and have activities to take it off your mind"2. Which of the following statement describes the neurochemical theories related to the onset of anxiety disorders?A. Gamma-aminobutyric acid is believed to be dysfunctional B. Increase secretion of serotonin C. Altered secretion of norepinephrine D. Increase secretion of dopamine 3. Vicky, 19 y/o was accompanied by her mother for a medical check-up. She noticed that Vicky looks weak and restless for the last 6 months. She has the difficulty of sleeping and easily got irritable with her siblings. She always stays at home and most of the time missed doing the ADLs. Which of the following can be the probable medical…7. Discuss complications related to SCI and what nursing actions would you do to prevent or mitigate these complications. Complication Description Intervention Reflexes Spasticity Skin Care Autonomic hyperreflexia (Autonomic Dysreflexia)