When assisting a postoperative patient with pain control and comfort, the nurse should:
a. pull the patient up in bed.
b. lift the patient up in bed.
c. tighten constricting bandages.
d. restrict fluid and dietary intake.
B
Pain control and comfort measures include loosening constricting bandages, lifting, not pulling the patient up in bed, and preventing constipation by encouraging appropriate fluid and dietary intake.
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An immigrant from Korea who has stage 3 Alzheimer's disease lives with a daughter, an Oregon native, in her hometown. During a patient follow-up visit, the visiting nurse notices that the daughter seems exhausted and has begun to cry
Which nurse response to the daughter would best reflect an understanding of the family's culture? a. "Being expected to care for one's family can be a significant burden to bear.". b. "You seem very tired. Respite care for a day or two each week might help you.". c. "Caring for a loved one in need can be both a great honor and a great challenge.". d. "There is a very nice nursing home not far from here. Your father might like it there.".
The nurse is assessing an older client who is having an annual assessment. In order to assess age-related changes of the musculoskeletal system, the nurse should assess:
1. the client's weight. 2. vital signs 3. the client's height. 4. the client's normal urine output.
What clinical manifestation should alert the nurse to possible carbon monoxide poisoning in a client who experienced a burn injury during a house fire?
A. Pulse oximetry reading of 80% B. Expiratory stridor and nasal flaring C. Cherry red color to the mucous membranes D. Presence of carbonaceous particles in the sputum
Which of the following terms is synonymous with a cerebrovascular accident (CVA)?
A. seizure B. convulsion C. stroke D. heart attack