The nurse is discussing various non-pharmacologic pain-relief techniques with the father of an 8-year-old boy
They agree on a plan to use a modality where the child is encouraged to remember or imagine the sights and sounds of an enjoyable experience such as his birthday. This is known as ________________ . Fill in the blank(s) with correct word
guided imagery
The facilitator (nurse or child-life specialist) talks in a calm voice while guiding the child's
imagination. Studies have shown a reduction in pain from all causes using this technique.
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In a routine prenatal visit, the nurse examining a patient who is 37 weeks pregnant notices that the fetal heart rate (FHR) has dropped to 120 beats/min from a rate of 160 beats/min earlier in the pregnancy. What is the nurse's first action?
a. Ask if the patient has taken a sedative. b. Notify the physician. c. Turn the patient to her right side. d. Record the rate as a normal finding.
The nurse is working with an 83-year-old who was recently widowed. The client answers questions with one word, and offers very little information without prompting. The nurse should determine that the client:
1. Is still angry about the loss. 2. Is withdrawing. 3. Remains in shock. 4. Has accepted the loss.
The nurse is caring for a client with a suspected autoimmune disorder. What concept related to the client's condition does the nurse recognize is true? Select all that apply.
A) It is necessary to determine that immunologic findings do not have another cause. B) Diagnosis is currently based on serologic testing and clinical findings. C) Each method of serologic testing involves either concentrating or diluting the client's serum. D) Genetic testing is considered the most reliable way to diagnose autoimmune disorders. E) Serologic testing reveals autoantibodies directed against cellular components.
Which factors contribute to the presence of edema in the pregnant client? (Select all that apply.)
a. Diet consisting of processed foods b. Hemoconcentration c. Increase in colloid osmotic pressure d. Last trimester of pregnancy e. Decreased venous return