For a client who may be uncomfortable during a wound irrigation, the nurse should:
A. Position the client as he or she desires
B. Place extra padding around the wound
C. Explain the procedure and the expected results
D. Administer prescribed analgesic before the change
D
D. Administer prescribed analgesic 30 to 45 minutes before starting wound irrigation procedure. Premedication, gently administered irrigation, application of clean dressing, and repositioning client ensure comfort.
A. Position comfortably to permit gravitational flow of irrigating solution through wound and into collection receptacle.
B. Extra padding protects the bed but does not address the client's discomfort.
C. Explaining the procedure will reduce the client's anxiety but not directly affect the pain.
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An appropriate nursing diagnosis for the patient who has had nose surgery is:
1. Risk for imbalanced body temperature. 2. Social isolation. 3. Decreased cardiac output. 4. Risk for activity intolerance.
A patient has received a pain medication that blocks pain signals from the spinal cord. The nurse realizes that this patient's level of pain will most likely be
1. mild. 2. moderate. 3. non-existent. 4. severe.
The second part of the two-part nursing diagnosis is the
a. etiology c. treatment b. outcome d. diagnostic label
The nurse is explaining to a new prenatal client that the certified nurse-midwife will perform clinical pelvimetry as a part of the pelvic exam
The nurse knows that teaching has been successful when the client makes which statement about the reason for the exam? 1. "It will help us know how big a baby I can deliver vaginally." 2. "Doing this exam is a part of prenatal care at this clinic." 3. "My sister had both of her babies by cesarean." 4. "I am pregnant with my first child."