Which bedtime preparation rituals are the most appropriate for the nurse to suggest? (Select all that apply.)
a. Telling a story
b. Placing a favorite toy in bed
c. Placing a glass of water at the bedside
d. Turning on a night light
e. Playing energetically
ANS: A, B, C, D
All options are soothing bedtime rituals except energetic playing, which would be stimulating and counterproductive to sleep.
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The physician has ordered a peripheral IV to be inserted before the patient goes for computed tomography. What should the nurse do when selecting a site on the hand or arm for insertion of an IV catheter?
A) Choose a hairless site if available. B) Consider potential effects on the patient's mobility when selecting a site. C) Have the patient briefly hold his arm over his head before insertion. D) Leave the tourniquet on for at least 3 minutes.
A 57-year-old woman being treated for
end-stage breast cancer has been using a transdermal opioid analgesic as part of the management of pain. Lately, she has been experiencing breakthrough pain. The nurse expects this type of pain to be managed by which of these interventions? a. Administering NSAIDs b. Administering an immediate-release opioid c. Changing the opioid route to the rectal route d. Making no changes to the current therapy
Binders applied inappropriately can be more painful than if NOT used at all
True False
When the male client on his first postoperative day after chest surgery appears stoic and does not ask for any pain medication, the nurse should:
A) document the client's lack of medication. B) assume the client does not need medication. C) ask the client's family if he ever uses pain medicines. D) actively solicit information about the client's pain level.