Homework Answers
1. Answer: According to the given situation a nurse can document this assessment of pain by category if filling out a form or using a computer system with the different categories as shown below:
Description: Deep, occasionally cramping, and sharp or stabbing
Intensity: 10 on a scale of 0-10
Relief: Never gone
Location: chest and abdomen
Or the nurse can use a sentence format: The patient reports severe chest and abdominal “deep, occasionally cramping, and sharp or stabbing” pain of 10 on a scale of 0-10
2. Answer: In this situation a nurse can teach to the patient about the new prescribed fentanyl patch. He/she can respond by saying something like I know you have been in severe pain and would like the pain to go away right away, however, this medication may take up to 12 to 18 hours before you start experiencing pain relief. Also, your doctor may have to adjust the dose during the first few weeks so that you get the best outcome from the medication.
5. Answer: The nurse need to:
Administer Narcan (as per facility protocol)
Start rescue breathing
Call Rapid Response Team
Reference: Ignatavicius, D.D., Workman, M.L., & Rebar, C.R. (2018). Medical-Surgical Nursing: Concepts for Inter-professional Collaborative Care (9th ed.). St. Louis: Elsevier.
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