The client diagnosed with leukemia has CNS involvement. Which instruction should the nurse teach?
1. Sleep with the HOB elevated to prevent increased intracranial pressure
2. Take an analgesic medication for pain only when the pain becomes severe
3. Explain radiation therapy to the head may result in permanent hair loss
4. Discuss end of life decisions prior to cognitive deterioration
3. Explain radiation therapy to the head may result in permanent hair loss
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Health care facilities often request a copy of the patient's advanced directive at the time of admission. An advanced directive
A) describes how the person wants to dispose of his or her personal property after their death. B) is a statement of intent to use personal assets to pay for health care. C) describes their preferences for care should they become incapacitated. D) includes the persons choice of rehabilitation facilities should the need arise.
The nurse is caring for a client who is recovering from abdominal surgery. Which goal statement is most appropriate for the nurse to include in this client's plan of care?
1. The client will verbalize pain relief using an intensity rating in 4 hours. 2. The client will state that he feels fine in 4 hours. 3. The nurse will observe fewer signs of pain in the client's demeanor. 4. The nurse will reevaluate the client's pain level every 2 hours.
Which statement by the nurse is best when communicating with a patient with clinical depression?
a. "It's a beautiful day today; you'll feel better if you look out the window." b. "You're having a bad day; I'm sure you'll feel better soon." c. "Life seems overwhelming at times; would you like to discuss how you're feeling?" d. "You are very lucky to have such a supportive family."
When making an occupied bed, which of the following is most important for the nurse to do?
a. Keep the bed in the low position. b. Keep the siderail raised on both sides of the bed. c. Move back and forth between the sides of the bed when adjusting linens. d. Use a bath blanket or sheet to maintain patient warmth and privacy.