A client had a mastectomy yesterday. Today, the nurse must teach this client exercises to promote function on the operative side. When should this teaching occur?
1. Before administering pain medication, so the client is still alert.
2. Whenever the client expresses a desire to learn, despite pain status.
3. Approximately 30 minutes after administering pain medication.
4. Immediately after administering pain medication.
Correct Answer: 3
Pain decreases ability to concentrate, so the nurse should provide intervention for pain before teaching. If the medication is administered and allowed to work for 20 to 30 minutes, the client is more likely to be attentive and receptive to teaching.
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The nurse is assessing the mental status of a child. Which statement about children and mental status is true?
a. All aspects of mental status in children are interdependent. b. Children are highly labile and unstable until the age of 2 years. c. Children's mental status is largely a function of their parents' level of functioning until the age of 7 years. d. A child's mental status is impossible to assess until the child develops the ability to concentrate.
The nurse wants to transfer the client from the bed to the chair by using a mechanical lift and cannot find help. Which is the most important action for the nurse to implement?
1. Assure the client that the lift is safe. 2. Use two safety chains on canvas sling. 3. Find help to assist with the transfer. 4. Double check the wheel locks on lift.
Which structure is located in the right upper quadrant (RUQ) of the abdomen?
1) Spleen 2) Stomach 3) Sigmoid 4) Liver
The client is receiving a beta-blocker medication. The nurse has done medication education and provided the client with printed information to take home. During the next appointment, the nurse notes that the client is not taking the medication properly. What is a therapeutic assessment question to ask this client?
A. "Do I have to inform your healthcare provider about your noncompliance?" B. "Why didn't you take your medicine as we talked about?" C. "Are you able to read and comprehend the printed information?" D. "Don't you understand how important it is to take the medicine?"