The patient is to undergo chest tube placement. What is the best nursing intervention to prevent a complication of this procedure?
A) Facilitate chest tube removal on day 3.
B) Use the supine position during chest tube removal.
C) Premedicate with an intravenous opioid.
D) Keep drainage tubing off the bed.
C
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After a nurse addresses an agitated client by setting limits in a calm, direct manner, the client begins pacing, exhibiting a clenched jaw and fists. The nurse would evaluate the approach as ineffective because:
1. The nurse lacks rapport with the client. 2. The nurse lacks adequate de-escalation and limit setting skills. 3. Some clients have limited control, so verbal interventions may not work, but this is not reflective of the nurse's skill. 4. In some cases verbal de-escalation and limit setting will not work and the nurse should start with a more restrictive measure.
The nurse is caring for a patient with metastatic bone cancer. The patient asks the nurse why he has had to keep getting larger doses of his pain medication and it doesn't seem to affect him. What is the nurse's best response?
A) "Over time, you become more tolerant of the drug." B) "You are immune to the effects of the drug." C) "You may have formed an addiction to the drug." D) "Your body absorbs less of the drug due to the cancer."
The nurse notes that the newly admitted patient with Alzheimer's disease has significant anomia. An appropriate intervention for this problem would be to:
a. frequently reorient him to his room loca-tion. b. remind him what a particular item is and what its use is. c. help him feed himself. d. wait for the patient to find the word he wants.
A nasal polyp may be distingished from the nasal turbinates for 3 of the following reasons. Which reason is false?
A) The polyp is highly vascular B) The polyp is movable C) The polyp is pale gray in color D) The polyp is nontender