The nurse using the gate theory as a guide to pain management will offer: (Select all that apply.)
a. massage.
b. social activities.
c. music.
d. interactive distraction.
e. a quiet environment.
A, B, D
Music is not effective as a gate closer. High levels of sensory stimulation are more effective for decreasing pain according to the gate theory.
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When assessing a patient with benign prostatic hyperplasia, which would the nurse consider a late finding?
A) Difficulty starting a flow of urine B) A weak stream of urine C) Nocturia D) Urinary incontinence
The nurse in the community clinic instructs a patient starting on an oral contraceptive that she must immediately report: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Only four withdrawal bleeds per year. 2. Cholecystitis symptoms. 3. Breakthrough bleeding. 4. Blood pressure of 126/84. 5. New lumps in her breast.
While caring for a client in labor, the nurse notices during a vaginal exam that the fetus's head has rotated internally. What would the nurse expect the next set of cardinal movements for a fetus in a vertex presentation to be?
1. Flexion, extension, restitution, external rotation, and expulsion 2. Expulsion, external rotation, and restitution 3. Restitution, flexion, external rotation, and expulsion 4. Extension, restitution, external rotation, and expulsion
A 5-year-old client has recurrent night terrors. What nursing intervention should the nurse use to help alleviate this problem?
1. Have the child walk around in the room when night terrors occur. 2. The next morning, ask the child to describe the event. 3. Have the child empty the bladder prior to going to bed. 4. Use an additional pillow behind the child's head at night.