While bathing a patient, a nurse finds that the patient's previous IV site is tender and the vein feels hard upon palpation, indicating inflammation. The nurse should apply
1. A cold pack using a glove filled with ice.
2. A warm compress using a washcloth dipped in hot water.
3. Heat by submerging the arm in a basin of very warm water.
4. A refreezable chemical cold pack.
ANS: 2
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A pregnant patient is experiencing back labor and complains of intense pain in the lower back. Which is the most effective nursing intervention to relieve this type of pain?
A) Effleurage of the abdomen during the contraction B) Conscious relaxation/guided imagery in low fowlers C) Counter pressure against the sacrum D) Pant-blow breathing technique
On entering the client's room, the nurse sees a fire burning in the trash can next to the bed. The nurse removes the client and calls the fire alarm. The next action of the nurse is to:
A. Extinguish the fire B. Remove all of the other clients from the unit C. Close all the doors of client rooms D. Move the trash can into the bathroom
A school nurse is facilitating a health screening program among junior high school students. What purpose of health screening should the nurse prioritize when planning this program?
A) To teach students about health risks that they can expect as they grow and develop B) To evaluate the treatment of students' current health problems C) To identify the presence of infectious diseases D) To detect health problems at an early age so they can be treated promptly
A 56-year-old patient with diverticulitis has been admitted to the medical unit. The nurse will most likely document which assessment in the charting?
a. Chest pain b. Pain in the upper right quadrant c. Pain in the left lower quadrant d. Progressive weight loss