The nurse is providing comfort measures for a client who is in hospice for terminal cancer of the liver. Which of the following is the most important factor in promoting client comfort?
A) Controlling nausea
B) Controlling diarrhea
C) Maintaining adequate hydration
D) Maintaining a patent airway
D
Feedback:
Although all the comfort measures listed above are important, maintaining a patent (open) airway is probably the most important factor in promoting client comfort. Many clients have lung involvement, causing dyspnea. Stress reduction and position changes help provide maximum comfort. Using a fan to circulate air or an air conditioner to cool the room and elevating the head of the bed may also help.
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During a health history, the client looked confused and said, "But everybody drinks, like at parties and such. How much drinking do you think is too much?" Which of the following would be most appropriate response by the nurse?
a. "Alcohol should be used only in moderation." b. "It's okay as long as you don't binge, and you eat food with your drinks." c. "Per day, no more than one drink for women and two drinks for men." d. "Total abstinence is the only healthy choice."
A patient with a head injury is being monitored with an intraventricular catheter. Which of the following nursing diagnoses is a priority for the care of this patient?
1. risk for injury 2. decreased intracranial adaptive capacity 3. risk for infection 4. altered comfort: acute pain
The nurse is reviewing the medications prescribed for a client diagnosed with dilated cardiomyopathy. Which of the following medications are commonly prescribed for this disease process? (Select all that apply.)
1. ACE Inhibitor 2. Beta-blocker 3. Diuretic 4. Anticoagulant 5. Antiarrhythmic 6. Antibiotic
A nurse in a nutrition clinic is to give 2 cups of organic prune juice to a client every night. The nurse is to document this on the nursing chart
What unit will the nurse use to document the amount of juice according to the metric system of measurement? A) Milliliter B) Gram C) Ounce D) Unit