The nursing home resident with recurrent otitis media complains of new pain behind the ear. The area is red and swollen. What is the nurse's priority?
A. Test the client's hearing acuity using the Rinne tuning fork test.
B. Apply a heating pad on a low setting to the area.
C. Document the referred pain.
D. Notify the physician.
D
The client's symptoms strongly suggest mastoiditis. Without appropriate antibiotic therapy, this condition can lead to hearing loss, meningitis, and more systemic infection.
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A cancer patient requires supplemental oxygen at home through an oxygen cylinder. The nurse assigned to the patient teaches the patient's brother to administer oxygen from the cylinder at home
Which of the following is most effective for the nurse to use when evaluating the patient's brother's understanding? A) Ask questions such as "Do you understand?" B) Ask the patient's brother to demonstrate the procedure. C) Ask the patient's brother to document the technique. D) Ask the patient's brother questions related to the procedure.
The client who has nervous system damage to the diaphragm asks the nurse why there is a feeling of not being able to take a breath. The nurse should explain that the diaphragm:
1. Expands during expiration, causing the client to feel like there is not enough air entering the lungs. 2. Flattens during inspiration to allow for expansion of the lungs. 3. Controls the diameter of the trachea. 4. Can cause collapse of alveoli.
The nurse can assist the patient in becoming more self-aware by using which technique?
a. Setting up an appointment to allow the patient to vent b. Allowing the patient to openly explore thoughts and feelings c. Assisting the patient to physically punch a pillow when upset d. Providing materials for the patient to write complaint letters
Compared with urban Americans, rural residents
1. Are more likely to engage in preventive health behavior 2. Are less likely to be exposed to occupational and environmental hazards 3. Have a higher rate of chronic illness 4. Rate their overall health status more favorably