When planning nursing care for an older adult who is experiencing chronic pain, the nurse includes which of the following interventions? (Select all that apply.)
a. Maintain mobility.
b. Promote autonomy.
c. Manage any chronically painful condition.
d. Provide economical sensitive pain relief.
e. Support the patient's right to be pain-free.
A, B, C
Goals for pain management in older adults include control of chronic disease conditions that cause pain, maintenance of mobility and functional status, promotion of maximum independence, and improvement of quality of life.
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A client is receiving oxygen at 4 liters per nasal cannula. What comfort measure may the nurse delegate to unlicensed assistive personnel (UAP)?
a. Apply water-soluble ointment to nares and lips. b. Periodically turn the oxygen down or off. c. Remove the tubing from the client's nose. d. Turn the client every 2 hours or as needed.
A patient, age 41, has had a total abdominal hysterectomy and bilateral salpingo-oophorectomy for endometriosis. She asks the nurse if she will have "hot flashes." What knowledge will guide the nurse's response?
a. Only the uterus was removed, and the ovaries are still producing estrogen and she will not have hot flashes. b. The patient is too young to have hot flashes associated with menopause. c. The uterus, ovaries, and fallopian tubes were removed, and she will have surgically induced menopause and may have hot flashes. d. The uterus and fallopian tubes were removed, and she will not experience "hot flashes."
A nurse is caring for a client who is diagnosed with skin cancer. Which nursing interventions will reduce the growth of cancer cells and support normal cell function?
Select all that apply. A) Encouraging mobility and exercise B) Encouraging increased rest and sleep C) Assessing normal functioning of organ systems D) Reducing oxygen supply to retard growth of cancer cells E) Increasing calorie intake
The patient has been diagnosed with substance dependence. The patient has been using Bennies for the last three years. Which patient statements should the nurse attribute to substance dependence?
Select all that apply. 1. "I am so tired and I feel so down about everything that is happening around me." 2. "I really tried to cut down my use, but I fail miserably every time." 3. "The only thing I care about right now is getting my fix." 4. "I have to use a lot more right now to get the same high as I did before." 5. "I have a great job where I work fulltime as a mechanical engineer, so that part of my life is very fulfilling."