A nurse is preparing to document a collaborative problem for a client with pain. Which of the following would be most appropriate?

A) "Impaired physical mobility related to chronic pain"
B) "Risk for powerlessness related to chronic pain"
C) "Readiness for enhanced comfort level"
D) "PC: peripheral nerve compression"


D

Nursing

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A terminal patient with a fulminating leg wound needs surgery, yet it is unlikely the patient will survive the procedure. The nurse could ethically support which action by the health care team?

1. Explaining that the surgery is needed and every effort will be done to keep the patient alive 2. Deciding not to conduct the surgery and determining if there are other treatment approaches 3. Telling the patient that offering surgery was an error and that treatment will be done with medications and therapy 4. Conducting the surgery without telling the patient that survival is unlikely.

Nursing

An elderly client with macular degeneration tells the nurse that "all of a sudden" the television screen appeared distorted, with the colors all "wrong.". The nurse should do which of the following to help this client?

1. Contact the physician for an immediate ophthalmological evaluation 2. Check the client's medications for side effects of vision changes 3. Ensure the client's safety by raising the bed rails 4. Talk with the client to assess for other hallucinations that might be occurring

Nursing

The nurse has identified a nursing diagnosis of knowledge deficit regarding the need to monitor blood glucose levels daily. Which of the following statements best reflects the client's under-standing of the need for therapy?

1. Client agrees to test blood glucose levels 4 times a day. 2. Client records blood glucose levels for a 3-week period. 3. Client is observed testing his blood glucose level before breakfast. 4. Client is able to demonstrate the proper technique for performing a finger stick.

Nursing

The nursing instructor is explaining the drug lidocaine (Xylocaine) to nursing students who are about to enter their surgical rotation. Which information should be included?

Standard Text: Select all that apply. 1. Amides block sodium from entering the cell. 2. Lidocaine has a longer duration of action than many of the esters. 3. Amides have fewer side effects than do esters. 4. Lidocaine is a calcium blocker. 5. Lidocaine and cocaine are from the same drug class.

Nursing