The client reports difficulty sleeping related to anxiety. Which nonpharmacologic pain management intervention might the nurse consider performing in order to relax the client?
1. Acupuncture
2. Acupressure
3. Massage
4. Distraction
Correct Answer: 3
Massage is used for relaxation, and can be effective in helping the client who is anxious. Distraction, acupressure, and acupuncture are not used for relaxation, although they can be effective in helping the client cope with pain.
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A 92-year-old patient has had a stroke. The right side of his face is drooping. The nurse might also suspect which of these assessment findings?
a. Epistaxis b. Rhinorrhea c. Dysphagia d. Xerostomia
The nurse assists the client to clean up after an incontinence episode. The client says "I'm sorry that you have to do this....". Which response, if made by the nurse, is most appropriate?
A) "Everything is just fine.". B) "I'm happy to help you.". C) "It's no big deal.". D) "You shouldn't worry.".
While providing oral medications to a patient recovering from a stroke, the nurse notices that the patient coughs repeatedly and has difficulty clearing the throat. What should the nurse do?
1. Change the diet to full liquid. 2. Change the diet to soft. 3. Request a physical therapy consult. 4. Request a swallowing evaluation by speech therapy.
Which of the following statements would provide the best guide for activity during the rehabilitation period for a client who has been treated for retinal detachment?
a) Activity is resumed gradually, and the client can resume her usual activities in 5 to 6 weeks. b) Activity level is determined by the client's tolerance; she can be as active as she wishes. c) Activity level will be restricted for several months, so she should plan on being sedentary. d) Activity level can return to normal and may include regular aerobic exercises.