The nurse on a postoperative care unit is assessing the quality of the patient's pain. In order to obtain this specific information about the pain experience form the patient, the nurse should ask:
A) "What does your discomfort feel like?"
B) "What activities make the pain worse?"
C) "How much does it hurt on a scale of 0 to 10?"
D) "How much discomfort are you able to tolerate?"
A) "What does your discomfort feel like?"
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A client had an oral tumor removed this morning and now has a tracheostomy. What action by the nurse is the priority?
a. Delegate oral care every 4 hours. b. Monitor and record the client's intake. c. Place the client in a high-Fowler's position. d. Remove the inner cannula for cleaning.
Which client statement on cultural or religious influences on nutrition requires intervention?
1. "My grandmother makes sure I eat a serving of greens each day." 2. "I avoid milk and meat at meals because I am Jewish." 3. "My Auntie sent me clay from the South to eat every day." 4. "Because I am Muslim, I do not ever eat any pork products."
A patient with iron deficiency anemia has been prescribed iron supplements. When providing information to the patient on iron administration, which of the following statements will the nurse include in her teaching?
A) Take the iron with dairy products to enhance absorption. B) Increase the intake of vitamin E to enhance absorption. C) Iron will cause the stools to darken in color. D) Limit foods high in fiber due to the risk for diarrhea.
The nurse is assessing a client with lung disease. Which symptom does the nurse intervene for first?
a. The client's anterior-posterior chest di-ameter is 2:2. b. Clubbing of the finger tips is noted. c. The client has bilateral dependent leg edema. d. The client is pale.