The nurse who is working with a new graduate tells the graduate to see to the care and comfort of the assigned clients. The new graduate returns and tells the nurse that none of the clients is in pain
The nurse explains that comfort includes which of the following? (Select all that apply.) 1. Religious
2. Environmental
3. Psychospiritual
4. Social
5. Friendship
2. Environmental
3. Psychospiritual
4. Social
Rationale:
Comfort is the experience of having needs for relief and ease met in four contexts: physical, psychospiritual, social, and environmental. Religion and friendship are encompassed in psychospiritual and social.
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At last measurement, the client's vital signs were as follows: oral temperature 98°F (36.7°C), heart rate 76, respiratory rate 16, and blood pressure (BP) 118/60. Four hours later, the vital signs are as follows:
oral temperature 103.2°F (38.5°C), heart rate 76 beats/minute, respiratory rate 14 breaths/minute, and blood pressure 120/66. Which should the nurse's first intervention be at this time? 1) Ask the client if he has had a warm drink in the last 30 minutes. 2) Notify the primary care provider of the client's temperature. 3) Ask the client if he is feeling chilled. 4) Take the temperature by a different route.
A nurse is asked to apply antiembolism stockings to a client following surgery. What important criteria should the nurse keep in mind before applying antiembolism stockings?
A) Use a standard size stocking. B) The client should be lying down for at least 5 minutes. C) The client should be sitting in a chair for at least 15 minutes. D) The leg length and thigh or calf needs to be measured.
A 45-year-old male client asks the nurse when they need to begin screening for prostate cancer. Which response should the nurse provide the client?
A. "Unless you are at an increased risk for the development of prostate cancer, no additional screening is indicated." B. "PSA screening tests should be performed once you reach 50 years of age." C. "You can start with either the prostate specific antigen screening or the digital rectal exam." D. "When you turn 50, you can discuss this with the healthcare provider to determine a recommendation."
A patient begins using timolol (Timoptic) to treat primary open-angle glaucoma (POAG). The nurse gives a dose and notes that the patient develops shortness of breath. The nurse assesses the patient and auscultates wheezes in both lungs
The nurse will ask this patient about a history of which condition? a. Asthma b. Atrioventricular heart block c. Pulmonary hypertension d. Sinus bradycardia