The nurse is preparing the care plan for a client with difficulty falling asleep. Appropriate interventions to reduce environmental distractions in hospitals include: Standard Text: Select all that apply
1. Taking vital signs early in the evening.
2. Closing the door of the client's room.
3. Positioning dependent clients appropriately.
4. Making nursing rounds in the hallway.
5. Assisting client with voiding before bedtime.
1,2
Rationale: Performing only essential nursing tasks during sleeping hours will decrease environmental distractions.
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The nurse concludes that a patient's meningitis is improving when the patient can perform which of the following activities?
a. Maintain a side-lying position in bed. b. Sit up and drink water. c. Touch the chin to the chest. d. Dorsiflex both feet.
What are some nonpharmacologic measures a nurse can use to help a patient who is nauseated or vomiting? (Select all that apply.)
A) Quiet environment B) Visitors C) Soft, bland meals (if not contraindicated) D) Deep breathing E) Carbonated drinks (if not contraindicated)
An involuntarily committed client is angry and verbally abusive to the staff. The client repeatedly threatens to sue various staff members. He frequently records staff members' full names and phone numbers
Which nursing action will most likely decrease the possibility of a lawsuit? A) Verbally redirecting the client and refusing to interact with him on a one-to-one basis B) Consulting the hospital's legal advisor as soon as possible C) Warning the client that threats of legal action are inappropriate and unwelcome D) Continuing to establish a good working relationship with the client and his family, if appropriate
Round 29.09 to the nearest whole number
What will be an ideal response?