A client with an illness that causes transient paralysis tells the nurse that he can feel the bed linens on his legs. Which of the following should the nurse do at this time?
1. Assess the client's sensory status for changes and improvements.
2. Take the linens off the client's legs.
3. Tell the client that he is experiencing phantom sensations.
4. Offer pain medication to the client.
Assess the client's sensory status for changes and improvement.
Rationale: The nurse needs to respond to changes in the client's clinical picture by assessing the client's sensory status for changes and improvements. The client has an illness that causes transient paralysis. The ability of the client to feel the bed linens could mean that his condition is improving. The nurse should not simply remove the linens from the client's legs. The nurse should not discount the client's report of symptoms by instructing the client on phantom sensations. The client is not complaining of pain, so the provision of pain medication is not indicated.
You might also like to view...
A child with Turner's syndrome tells the nurse she feels different from her peers. Which response should the nurse give?
1. "Tell me more about the feelings you are experiencing.". 2. "These feelings are not unusual, and should pass soon.". 3. "You'll start to grow soon, so don't worry.". 4. "You seem to be upset about your disease.".
When preparing an enema solution for a child younger than 2 years of age, the total amount of fluid should not exceed ____________
Fill in the blank(s) with correct word
A patient, 3 days postoperative, tells the nurse that her wound is a little more painful today than it was yesterday. Which of the following would be important information to document about the patient's wound? Select all that apply
1. Skin turgor 2. Color of drainage 3. Length of wound 4. Odor of drainage 5. Closed or open
A nurse is caring for a patient who was newly diagnosed with type 1 diabetes. The patient's wife states, "We are a family of diabetics
" The nurse advises the couple to attend the free nutrition, cooking, and exercise classes at the health center near their neighborhood. She also gives them the name of the public health nurse for their area. Which perspective of family nursing is the nurse practicing? a. Family as a unit of care b. Family as a system c. Family as the context of care d. Family as a resource and stressor