What action should the nurse implement when assisting a postoperative patient with pain control and comfort?
a. Pull the patient up in bed
b. Lift the patient up in bed
c. Tighten constricting bandages
d. Restrict fluid and dietary intake
ANS: B
Pain control and comfort measures include loosening constricting bandages, lifting, not pulling the patient up in bed, and preventing constipation by encouraging appropriate fluid and dietary intake.
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A nurse wishes to have the patient reflect on what the patient has just said. To allow this to happen, the nurse should
a. ask the patient to reflect on what was just said. b. clarify the meaning of the words with the patient. c. repeat what was said and ask what was meant. d. stay silent until the patient begins to talk again.
A nurse is teaching a home care patient how to administer a topical medication. The patient is watching television while the nurse is talking. What might be the result of this interaction?
A) The message will likely be misunderstood. B) The stimulus for communication is unclear. C) The receiver will accurately interpret the message. D) The communication will be reciprocal.
A client is diagnosed with cancer. The nurse realizes that which of the following are characteristics of this type of cell? (Select all that apply.)
1. Aneuploid 2. Cohesive 3. Migratory 4. Poorly differentiated 5. Specific morphology 6. Abnormal chromosomes
The nurse is caring for a client with a spinal cord injury located at T5. Which of the following should be included in this client's plan of care?
1. Use mechanical ventilation. 2. Assess blood glucose level for onset of diabetes. 3. Assist with removal of pulmonary secretions. 4. Provide assistive devices for ambulation.