The nurse is caring for a postoperative client who says his pain is well controlled during the day but that it seems to get worse in the evening. The nurse concludes this is the result of which of the following?
1. The pain is due to constipation.
2. Increased activity in the evening will help alleviate pain.
3. The pain is likely due to fatigue at the end of the day.
4. The client has a wound infection.
3
Rationale: The perception of pain is greater when the client is tired. The nurse can suggest a rest period or nap in the late afternoon to reduce fatigue rather than ambulation, which will further tire the client. There is no information that suggests the client is constipated or has a wound infection.
You might also like to view...
When beginning a complete bath on a 17-year-old in traction with bilateral femur fractures, the nurse's priority is which of the following?
1. Enlisting help to turn the client 2. Providing privacy for the bath 3. Oral care 4. Obtaining lotion to moisturize the skin
A client who has had a bone marrow transplant is being evaluated by the nurse 2 months post-procedure. The nurse concludes that goals have not been met when:
1. the client reports no joint pain. 2. the client is sleeping well at night. 3. the client has lost 5 pounds. 4. the client has a rash on the palms.
When assessing a family, the nurse documents the family members using symbols to represent family relationships and structural and functional patterns, The nurse is using:
A) Ecomap B) Family map C) Genogram D) Friedman Family Assessment Model
Cynthia is a patient who has been transferred to the mental health unit from the medical floor
She tells you that she "doesn't trust anyone" and she seems to be overly sensitive to constructive suggestions or comments made by staff and other patients. You suspect that her diagnosis will be: A) Paranoid personality disorder B) Antisocial personality disorder C) Borderline personality disorder D) Dependent personality disorder