The family of an older patient who is terminally ill wants to know if the patient can have a massage to help with the pain. How should the nurse respond to the family? Standard Text: Select all that apply
1. "It might reduce the patient's anxiety."
2. "It might help reduce the patient's pain."
3. "It might help the patient breathe better."
4. "It could help improve the patient's mood."
5. "It could cause the patient more discomfort."
1,2,3,4
Rationale: The use of complementary and alternative medicine at the end of life is associated with reduction in anxiety.
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Which situation represents an exception to the blame-free environment? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. A nurse routinely changes nursing notes after a client is discharged. 2. A physician order is overlooked on a newly admitted client. 3. An unlicensed assistant drops a client. 4. A nurse does not complete an incident report after a medication error. 5. A nurse miscounts narcotics.
The nurse differentiates the humoral response from the cell-mediated response in that in the cell-mediated response:
a. the sensitized lymphocytes attack the cell for which they were sensitized. b. cells produce new antibodies. c. the response does not occur until the white blood cell (WBC) count rises. d. there is a systemic response of fever and malaise.
An office assistant tells the nurse his job requires him to work at his computer 7 to 8 hours each day. What preventive information should the nurse provide to the patient?
a. Wear protective goggles. b. Wear corrective eyeglasses. c. Rest his eyes every 2 hours. d. Irrigate his eyes every day.
A patient with schizophrenia tells the nurse, "I eat skiller. Tend to end. Easter. It blows away. Get it?" Select the nurse's best response
a. "Nothing you are saying is clear." b. "Your thoughts are very disconnected." c. "Try to organize your thoughts, and then tell me again." d. "I am having difficulty understanding what you are saying."