A nurse is working with a client who is 6 hour postpartum following a vaginal birth with first -degree laceration. Which of the following, actions is an example of the nurse providing a stepwise approach to manage the client's pain?

Offering opioids followed by topical treatment!

Offering mindfulness only for pain

Giving the ghest dose of opioids to make sure to eliminate the pain

Starting with ibuprofen for pain management and adding cold therapy for additional relief.

Answer and Explanation

The Correct Answer is D

A) Offering opioids followed by topical treatment:
While opioids can be effective for pain, they are typically reserved for more severe pain and are not the first line of treatment for the moderate pain commonly experienced postpartum, especially after a first-degree laceration. A stepwise approach emphasizes starting with less potent options and progressing as needed, so offering opioids first is not appropriate here.

B) Offering mindfulness only for pain:
While mindfulness and other non-pharmacological techniques can be helpful for pain management, offering only mindfulness as the sole approach may not adequately address the client's pain, especially in the early postpartum period. A stepwise approach typically involves combining pharmacological and non-pharmacological methods to achieve effective pain relief, so relying only on mindfulness is not the most effective strategy for this situation.

C) Giving the highest dose of opioids to make sure to eliminate the pain:
Stepwise pain management involves starting with the least invasive and least potent option, such as nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen, and escalating treatment if necessary. Using high doses of opioids first can lead to unnecessary side effects and risks, especially when less potent options would suffice.

D) Starting with ibuprofen for pain management and adding cold therapy for additional relief:
This is an example of a stepwise approach to pain management. Starting with ibuprofen, an NSAID, addresses inflammation and mild to moderate pain effectively, which is appropriate for a first-degree laceration. Cold therapy can be added for additional relief, as it helps reduce swelling and numb the area, which can further reduce discomfort. This combination of pharmacological and non-pharmacological treatments follows the principle of starting with less potent options and adding more if needed, making it the best choice.

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Correct Answer is ["2"]

Explanation

Given:

Desired dose: Ampicillin 0.5 g PO

Available concentration: Ampicillin capsules 250 mg each

To find:

Number of capsules to administer for a single dose

Step 1: Convert desired dose to milligrams

We know that 1 gram (g) is equal to 1000 milligrams (mg). Therefore, to convert the desired dose from grams to milligrams, we multiply by 1000:

Desired dose (mg) = Desired dose (g) x 1000

Desired dose (mg) = 0.5 g x 1000 = 500 mg

Step 2: Calculate the number of capsules

To find the number of capsules, we divide the desired dose by the strength of each capsule:

Number of capsules = Desired dose / Capsule strength

Number of capsules = 500 mg / 250 mg/capsule = 2 capsules

A. "There are specific pain management options that you need to use B. We will work with you to incorporate the practices that are safe for you and your fetus.- C. You will need to discuss this with the provider." D. It is better to use pain management options that have been researched."

Correct Answer is B

Explanation

A) "There are specific pain management options that you need to use":
It’s important to respect the client's autonomy and work collaboratively to explore pain management options that align with their cultural values and medical safety. A more open, client-centered approach would be more beneficial.

B) "We will work with you to incorporate the practices that are safe for you and your fetus.":
This statement acknowledges the client's cultural preferences while ensuring that safety is the priority. The nurse is offering to collaborate with the client to explore pain management options that align with their values, within the scope of what is medically safe for both the mother and the fetus. It promotes a partnership approach, which is critical in maternity care.

C) "You will need to discuss this with the provider.":
While the provider may ultimately be involved in deciding specific pain management options, this statement dismisses the nurse's role in supporting the client’s cultural preferences. Nurses can play an active role in initiating and facilitating these conversations with clients and helping them express their preferences to the provider. It is not solely the provider's responsibility.

D) "It is better to use pain management options that have been researched.":
While evidence-based practices are important, this statement could be seen as dismissive of the client's cultural preferences. It fails to address the importance of individualized care and overlooks the possibility of integrating safe, culturally relevant pain management practices alongside researched methods. A balanced approach that respects both cultural values and medical safety is crucial.

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A nurse is working with a client who is 6 hour postpartum following a vaginal birth with first -degree laceration. Which of the following, actions is an example of the nurse providing a stepwise approach to manage the client's pain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is ordered ampicillin 0.5 g po every 6 hours. On hand are ampicillin capsules labeled 250mg. How many capsules will the nurse administer for single dose?

Correct Answer is ["2"]

Explanation

A client is discussing incorporating cultural practices into their pain management during labor with a nurse. Which of the following statements by the nurse is most appropriate?

Correct Answer is B

Explanation

Calculate the gravity rate for gentamycin 100 mg/100ml with secondary tubing (20gtts/mL) over 60 minutes.

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