the nclex-style question thread.

The question isn't designed to speculate on how erroneous a nurse's diagnosis can be. As someone who has a family tree full of erroneous medical errors and physician diagnoses, I say, well, be respectful or get the hell out of my thread. This is me being nice about it.

 

Hey, I really appreciate your thread, which is why I 'contributed', sorry you don't see it that way atm.

My point was that communication of facts between disciplines can become critical instantly, the question proposed an unqualified response, so it was conjecture until a better explanation was found.

I'm as serious about health care as anybody, but communication needs to be based on facts.

 

I was stuck between phlebitis and infiltration, but I think I'm going with phlebitis.

 

Assessing inflammation is something that a nurse is well qualified to do. Of course, everything goes back to the physician ultimately and the amount of trust they have in the people they're working with and how they wish to approach their work.

I appreciate your words and your contribution and thanks for responding.



most folks chose #1 and that is correct.

Next:

 

Give him/her the prescribed pain meds for level 5.
You could ask them to verify the pain rating, but this could also increase agitation. Depends on what they've prescribed.

 

I should include a link to the scale.
http://web.missouri.edu/~proste/tool/cog/painad.pdf

 

see that the scale is from 1-10 and he;s scored a 5

id say #2- administer the prescribed drug.

 

3. 2. 1.

 

2 and 1

 

3. ask the patient to verify the pain rating. only because of personal experience. Then 2 & 4 depending on doctor's orders for said pain level ( I don't know what is causing the pain, whether non prescription will help, or if it has happened before). Then of course 1 to follow up.

 

Administer pain med? I'm wondering how this patient's pain can be assessed by anything other than observation of symptoms, as he/she has dementia.

Then again, wouldn't the physician's prescription order state at what paidad level to administer? Or is there a standard level they all use?

I'm sooooo confused.

Change to 4. Use only nonpharmacologic pain relief interventions. (this is like changing checkout lines in the supermarket. As soon as you do, you realize you should have stayed where you were.)

 

The correct answer is #2.

 

4 of course. You're focused on a crisis situation. You can reassure them later. I think they might suggest passive listening at times, but in a crisis, it's all about getting through. Number 3 killed me though.

 

#4 is the closest answer, I think

 

I'm trying to avoid questions that are more 'medical' in nature...as far as what to do when caring for people with specific diseases and/or what certain lab results or signs and symptoms might indicate. The phlebitis one being an exception. There are also a lot of pharmacological questions I could post. Any interest in upping the ante a bit with questions that might require a bit more research? Some of them I can answer and some I can't so I would be playing along, as well.

 

I think 1 & 2 have their place but 4 is definitely where the nurse's focus should be.

Go for it mm. Enjoying this and wouldn't mind some meatier questions.

Some of this information is good to know and might prove helpful one day. You never know.

 

Very well.

The answer to the question was, indeed, number 4.