Which of the following nursing interventions is an indirect-care intervention?
a. Emotional support
b. Teaching
c. Consulting
d. Physical care
C
An indirect-care intervention is an activity performed away from the client on behalf of the client. Indirect-care interventions include consulting with other healthcare team members, making referrals, advocating, and managing the environment. Direct-care interventions include emotional support, patient teaching, and physical care.
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A patient being prepared for a nervous system examination is observed sitting quietly; however, the thumb and index finger of the left hand are moving in a circular motion. The nurse identifies this hand activity as being:
A) A postural tremor B) An intention tremor C) Myoclonus D) A resting tremor
Which statement is true about pain?
a. The nurse is the best judge of a patient's pain. b. Patients with severe tissue damage will experience more pain than those with less damage. c. Most complaints of pain are psychological. d. Addiction is unlikely when analgesics are carefully administered and closely monitored.
A nurse is caring for a patient with inflammatory bowel changes and has identified a nursing diagnosis of "Diarrhea related to inflammatory changes in the bowel." What would be an appropriate intervention for this diagnosis?
A) Use a heat or cold pack for pain relief. B) Ensure adequate hydration and electrolyte replacements. C) Provide periods of rest by clustering care. D) Gather resources for home care and daily activities.
A 58-year-old patient who has been recently diagnosed with benign prostatic hyperplasia (BPH) tells the nurse that he does not want to have a transurethral resection of the prostate (TURP)
because it might affect his ability to maintain an erection during intercourse. Which action should the nurse take? a. Provide teaching about medications for erectile dysfunction (ED). b. Discuss that TURP does not commonly affect erectile function. c. Offer reassurance that sperm production is not affected by TURP. d. Discuss alternative methods of sexual expression besides intercourse.