A nurse is applying a cold compress to a client with a fracture. Which should the nurse
do during the procedure?
A) Apply the compress so that it is moist, but not dripping
B) Place the compresses in a basin containing pieces of ice only
C) Keep the compress on the site for 45 minutes
D) Repeat the procedure every hour for quick relief
A
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To provide appropriate instructions to a client who has an ear wick inserted to facilitate medication administration for external otitis, the nurse would advise the client to
a. apply ear drops directly to the wick. b. eliminate milk from the diet. c. shower frequently to remove ear secretions. d. sleep with the affected ear on the pillow.
Which intervention would the nurse perform to help prevent an air embolism in a patient receiving intravenous fluid therapy?
1. Open the clamps on administration sets as they are being changed. 2. Wait until solution containers are empty before changing. 3. Use irrigation-type connections on all tubing. 4. Purge air from the system before initiating the infusion.
A patient with a personality disorder tells a nurse, "What do you say we cancel the therapy today and watch a good movie?" Which reply by the nurse is most therapeutic?
a. "Don't be manipulative.". b. "This isn't a social occasion.". c. "You'd rather not work on your problems today?" d. "You know our time together has to be spent problem solving.".
The nurse enters a client's room and finds that the telephone is lying in the client's lap, tissues are wadded up on the bed, and the client's eyes are red and watery. What is the best response by the nurse?
1. "Can I hang that phone up for you?" 2. "Well, it's a beautiful day outside. Let's open the blinds." 3. "Has your doctor been in to talk to you yet?" 4. "You look upset. Is there anything you'd like to talk about?"