The ICU nurse planning care for a critically ill client tries to arrange care to minimize the most disruptive stressor for the client, which is
a. alteration in sleep.
b. fear of the unknown.
c. persistent pain.
d. sense of isolation.
A
There are many stressors to the ICU client, but alteration in sleep patterns supercedes all the other options.
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Which of the following would be an example of a child born with congenital insensitivity to pain? A child who
A) develops pins-and-needles sensation after jumping out of a tree. B) fell off a skate board and fractured ankle but did not feel any pain and just noted swelling in foot. C) skinned knee from a bike accident but only told parents when it started burning. D) cries every time the wind blows because it hurts his face and ears.
A nurse has used a commercial arm sling to support a client's arm. Which of the following functions does a sling perform?
A) Reduces muscle spasms B) Reduces transmission of pathogens C) Provides elevation to body parts D) Encloses the client's forearm
Signs of an Addisonian crisis would include all of the following except:
1. Sudden pain in the upper extremities. 2. Severe vomiting and diarrhea. 3. Dehydration. 4. High blood pressure.
Which strategies should the nurse recommend for a school-age client who is at risk for developing hypertension as an adult? Select all that apply
1. Using seasoning substitutes for salt 2. Providing a list of foods high in sodium 3. Decreasing television time 4. Increasing physical activity 5. Monitoring blood pressure daily