A female client with fibromyalgia asks the nurse to arrange for hospice care to help her manage the severe, chronic pain. Which intervention should the nurse provide to address the client's problem?
Ask for a consultation with a psychologist.
Arrange an appointment with a pain specialist.
Contact a hospice nurse for an evaluation.
Form an interdisciplinary team for evaluation.
The Correct Answer is B
Choice A: Ask for a consultation with a psychologist. This is not the best intervention, as it does not address the physical aspect of pain management. A psychologist may help the client cope with emotional distress and cognitive-behavioral strategies to reduce pain perception, but it may not be enough to relieve severe pain.
Choice B: Arrange an appointment with a pain specialist. This is the best intervention, as it addresses the physical aspect of pain management. A pain specialist may prescribe appropriate medications, perform interventional procedures, or recommend alternative therapies to relieve severe pain.
Choice C: Contact a hospice nurse for an evaluation. This is not the best intervention, as it does not address the eligibility criteria for hospice care. Hospice care is intended for clients who have a terminal illness with a life expectancy of six months or less, and who have decided to forego curative treatments. Fibromyalgia is not a terminal illness, and hospice care may not be appropriate for this client.
Choice D: Form an interdisciplinary team for evaluation. This is not the best intervention, as it does not address the urgency of pain management. An interdisciplinary team may consist of various healthcare professionals who can provide holistic care for the client, but it may take time to coordinate and implement their services.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A: Assessing pupillary response to light hourly is not an intervention that the nurse should implement while administering dopamine, as this is not related to the effects or side effects of dopamine. This is a distractor choice.
Choice B: Initiating seizure precautions is not an intervention that the nurse should implement while administering dopamine, as this is not a common or expected complication of dopamine. This is another distractor choice.
Choice C: Monitoring serum potassium frequently is not an intervention that the nurse should implement while administering dopamine, as this is not affected by dopamine or hypotension. This is another distractor choice.
Choice D: Measuring urinary output every hour is an intervention that the nurse should implement while administering dopamine, as this can indicate the effectiveness of dopamine in improving renal perfusion and blood pressure. Therefore, this is the correct choice.
Correct Answer is B
Explanation
Choice A: Notifying the emergency response team of the client's seizure is not a necessary action for the nurse, as the seizure has already stopped and there is no immediate threat to the client's life. This is a distractor choice.
Choice B: Keeping orienting the client to time and place until he is less confused is an appropriate action for the nurse, as this can help restore the client's cognitive function and reduce his anxiety after a seizure. Therefore, this is the correct choice.
Choice C: Explaining the postictal state that usually follows seizures is not a priority action for the nurse, as this can be done later when the client is more alert and receptive. This is another distractor choice.
Choice D: Asking the wife to wait outside the room until the nurse can talk with her is not a considerate action for the nurse, as this can increase her stress and worry about her husband's condition. This is a contraindicated choice.
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