When providing care to the client with an exacerbation of gout resulting in foot pain, which of the following nursing interventions will aid in promoting comfort?
1. Elevating the extremity using a foot cradle
2. Wrapping the extremity in an ace bandage
3. Encouraging liberal fluid intake
4. Providing passive range-of-motion exercises
Elevating the extremity using a foot cradle
Rationale: The pain in the affected extremity will be lessened with elevation; elevation will reduce inflammation. Wrapping the extremity and range of motion could increase the pain being experienced. Fluid intake is encouraged, but will not directly reduce the client's discomfort.
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Which of the following organizations is responsible for establishing a bill of rights for patients?
a. American Hospital Association b. American Nurses Association c. Commission for Collegiate Nursing Education d. The Joint Commission
An older adult resident of a long-term care facility has been experiencing generalized pruritus that has become more severe in recent weeks. What intervention should the nurse add to this resident's plan of care?
A) Avoid the application of skin emollients. B) Apply antibiotic ointment as ordered following baths. C) Avoid using hot water during the patient's baths. D) Administer acetaminophen 4 times daily as ordered.
The nurse is caring for a patient who has been taking doxazosin (Cardura). He says, "I'm not going to take these drugs anymore, because they're interfering with my sex life." Select the nurse's best response
a. "It's unfortunate that these drugs can cause erectile dysfunction, but managing your blood pressure is more important than your sexual performance." b. "I understand how discouraging it must be to live with this side effect, but you could have a stroke if you don't take your blood pressure drugs." c. "Let's discuss this effect with your health care provider. There are other alpha adrenergic blockers and also drugs available to manage this side effect." d. "I'm glad you told me about your experience with this side effect. Sexual per-formance can be a difficult subject to discuss."
The use and choice of certain words can
I. hamper or distort the communication process II. make the communication process more or less effective III. really make no difference in the process IV. be too simple or too difficult depending on the people involved in the communication process a. I and II b. I, II, and III c. I, II, and IV d. all of these