The nurse is performing a symptom analysis of a patient with pain. Which questions below are appropriate for a symptom analysis? Select all that apply
a. "Have you had any other symptoms such as nausea, vomiting, and sweating?"
b. "Where is the pain located?"
c. "Have you had a pain like this before?"
d. "What does the pain feel like?"
e. "What do you do to make your pain better?"
f. "In your culture, how are you encouraged to express your pain?"
ANS: A, B, D, E
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You are the operating room nurse setting up a water-seal chest drainage system for a patient who has just had a thoracotomy. You know that the amount of suction in the system is determined by the water level
How much suction do you set the system at? A) 20 cm H2O B) 15 cm H2O C) 10 cm H2O D) 5 cm H2O
A client diagnosed with sickle-cell anemia is experiencing vaso-occlusive crisis. Which of the following interventions would be appropriate for this client? (Select all that apply.)
1. Administering oxygen 2. Decreasing hydration 3. Managing pain 4. Promoting activity 5. Encouraging rest 6. Restricting calories
The school nurse works with a 12-year-old girl who is obese and has type 2 diabetes. As client advocate, which would be most appropriate nursing action?
A) Scold the client when she buys a soda from a vending machine at school. B) Schedule a conference with the client's parents to discuss how to collaboratively manage her blood glucose level and encourage her to select appropriate foods in the cafeteria for lunch. C) Perform a finger stick and check the client's blood glucose level when she reports feeling weak and dizzy one day. D) Weigh the client each week in the office to help track her weight and hold her accountable to her weight loss goals.
Select the correct order in which a nurse follows the listed steps to replace a transdermal patch for a patient
1. Select a location for the new patch, cleanse the new location with an alcohol swab, apply the new patch, and remove the old patch. 2. Cleanse the location where the new patch is to be placed; remove the old patch; write the date, time, and nurse's initials on the new patch; and apply the new patch. 3. Remove the old patch; cleanse the old patch's location with an alcohol swab; write the date, time, and nurse's initials on the new patch; and apply the new patch. 4. Remove the old patch, select a location for the new patch, cleanse the location of the new patch with an alcohol swab, and apply the new patch.