The nurse provides an in-service to peers regarding situations that can affect the comfort level of the clients on the unit. Which client statement indicates that the client's sense of well-being is negatively impacted?

A) "I feel like I have no energy today."
B) "I don't feel any physical pain today."
C) "I was able to sleep uninterrupted last night."
D) "I am so glad that playing cards takes my mind off my worries."


Answer: A

When there is insufficient energy, the client is unable to focus on healing and lacks the ability to cope in stressful situations. Restful sleep, physical well-being, and appropriate diversion all promote a sense of comfort for the client.

Nursing

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Which of the following statements is correct with regard to autonomic control of blood vessels?

a. Blood vessels are innervated by both divisions of the autonomic nervous system. b. Blood vessels are almost exclusively innervated by sympathetic nerves. c. Blood vessels are innervated exclusively by parasympathetic nerves. d. Blood vessels are not controlled by the autonomic nervous system.

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A patient scheduled for a laparoscopic cholecystectomy asks the nurse why a surgical consent for a laparotomy must also be completed. How should the nurse respond?

1. "By signing both now, you'll never have to sign another one. We'll keep the extra on file for the future." 2. "Surgeons base their decision on whether to do the procedure laparoscopically or with a full incision on many factors. With this signed, the surgeon has options." 3. "You will be ready if the laparoscopic operating rooms are busy today." 4. "The surgeon will start the procedure laproscopically but may need to make an incision to complete the procedure."

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A client is demonstrating signs of the inflammatory response. The nurse would assess which of the following in this client? (Select all that apply.)

1. Increased urine output 2. Thirst 3. Edema 4. Heat 5. Erythema 6. Pain

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An excessive use of magnesium-containing antacids and aluminum-containing antacids can result in:

a. Hypomagnesemia b. Hypophosphatemia c. Hyponatremia d. Hypokalemia

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