The nurse is caring for a dying client. Which of the following interventions should the nurse implement to control the client's pain? (Select all that apply.)
a. assess pain level every 4 hours
b. administer pain medications in a timely manner around the clock
c. delay pain medication if the client is asleep
d. evaluate the effectiveness of the pain medications frequently
e. administer oxygen
f. address break-through pain in a timely manner
B, D, F
Interventions the nurse should implement to control the client's pain are assess pain level frequently and thoroughly, administer pain medications in a timely manner around the clock, evaluate the effectiveness of the pain medications frequently, address break-through pain in a timely manner, and do not delay or deny pain medication.
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A client admitted with post-traumatic stress disorder (PTSD) is having a flashback. What is MOST important for the nurse to remember to do during this episode?
a. Avoid touching the client during the flashback. b. Note and record the episode's length of time and any key ideas expressed. c. Restrain the client as soon as possible, and administer sedation as ordered. d. Speak to the client in a soft, calm voice.
What should be done with a marginal employee?
A) Make no effort to meet nursing standards B) Usually do not warrant termination C) Should be ignored as harmless by the manager D) Should be disciplined routinely
An external rubber sheath that slides over the penis and is attached to a drainage tube is called
A. An IV catheter. B. A condom catheter. C. A Foley catheter. D. A rectal tube.
During the termination phase of the nurse-client relationship, the nurse asks the client, "When you used assertiveness to deal with your father, how did it work?" This statement helps the cli-ent:
1. Formulate plans 2. Identify themes 3. Set goals 4. Evaluate actions