The nursing care plan for the client with a diagnosis of Chronic Pain should always include:(Select all that apply) Standard Text: Select all that apply
1. Establishing a client-nurse relationship
2. Client teaching
3. Consider the client's ability and willingness to participate
4. Use distraction
5. Present choices
1,2,3
Rationale: A trusting relationship promotes expression of the client's thoughts and feelings and enhances effectiveness of planned pain therapies
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A client is to take a medication every 6 hours. The first dose is 6:30 AM. What time will the client take the next two doses?
a. Traditional time _________________ b. International time ________________
The Omaha System consists of components that capture: (Select all that apply.)
a. evaluation data. b. cost data. c. assessment data. d. service delivery/activity data.
The nurse would immediately report to the surgeon which finding in a patient who had a total knee replacement within the last 24 hours?
1. Diminished sensations in both legs and feet 2. Motor strength of 4 in the unaffected leg 3. Capillary refill time of 5 seconds in the toes of the surgical leg 4. Slight pallor and skin coolness bilaterally
A patient with diabetes is diaphoretic, has a heart rate of 112 beats per minute, and is feeling nervous and shaky. What action should the nurse take first?
A. Provide the patient with a snack of milk and crackers. B. Contact the laboratory and order a serum glucose level. C. Administer insulin utilizing the prescribed sliding scale dosages. D. Obtain a capillary serum glucose level reading with a glucose meter.