Which of the following would the nurse use as the primary assessment for a client's pain?
A) The client's spiritual view of the pain
B) Current pain therapies used
C) The client's report of the pain
D) Psychosocial questions related to perceptions
C
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The mother of an 11-month-old infant is concerned that the child is developing autism because the child likes to rock on the hands and knees in the crib before going to sleep. What should the nurse respond to this mother's concern?
A) "Rocking means the child is hungry.". B) "Rocking is abnormal behavior associated with autism.". C) "Rocking can be seen as a form of self-stimulation.". D) "Be sure to pad the crib so the child does not hurt the head while rocking.".
A client asks the nurse what ventilation is. What is the most appropriate response by the nurse?
1. "Ventilation is the process by which gases are exchanged." 2. "Ventilation is the process of moving air into and out of the lungs." 3. "Ventilation is the blood flow through the lung." 4. "Ventilation is taking a breath in."
A nursing instructor is teaching students about the purpose of using the nursing process in the care of psychiatric patients. Which of the following statements by the student indicates that learning has occurred?
A. The nursing process is a method for interviewing the patient in a systematic way. B. The nursing process is used to assist patients to adapt successfully to stressors within the environment. C. The nursing process is used to provide support for the psychiatric diagnosis. D. The nursing process is used primarily to minimize allegations of negligence.
A nurse is caring for a client with lung cancer who has had a paracentesis performed to relieve breathing difficulties. For which of the following adverse effects should the nurse monitor the client?
A) Hypervolemia B) Punctured lung C) Shock D) Pulmonary edema