What should the nurse do when providing care for a patient with an acute attack of trigeminal neuralgia?
What will be an ideal response?
Maintain a quiet, comfortable, draft-free environment.
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A normal Babinski response in an adult male is
A) plantar flexion of toes. B) plantar extension of toes. C) palmar flexion of fingers. D) palmar extension of fingers.
A female student, seen in the campus clinic, states that she uses feminine hygiene douches every day and after intercourse. The best response from the nurse would be:
1. "Douching has been used as an effective means of birth control for years." 2. "Commercially prepared douches will neutralize the female vaginal tract." 3. "Douching may be done when it is ordered by a physician or nurse practitioner." 4. "Douching protects the vaginal tract from microorganisms."
When measuring the size, depth, and wound tunneling of a client's stage IV pressure ulcer, what action should the nurse perform first?
A) Perform hand hygiene. B) Insert a swab into the wound at 90 degrees. C) Measure the width of the wound with a disposable ruler. D) Assess the condition of the visible wound bed.
Which of the following is the best explanation of how nurses in community-based settings use assessment?
A) As a dynamic, ongoing process to collecting information, recognize changes, analyze needs, and plan care B) For ongoing monitoring of acute conditions, and as an essential component in ensuring continuity with discharge planning C) As a method to determine pathology D) As a tool to identify environmental factors that may enhance or impair the individual's health status.