The nurse is teaching about postoperative wound care. As the wound is uncovered, the client begins mumbling, breathing rapidly, and trying to get out of bed and does not respond when the nurse calls his name
What should be the nurse's first action? A) Ask the client to describe his feelings.
B) Proceed with wound care quickly.
C) Replace the dressing on the wound.
D) Get the assistance of another nurse.
C
Feedback: The first action should be to replace the dressing on the wound to decrease the client's level of anxiety. This client has severe anxiety; the priority is to lower the client's anxiety level.
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After teaching an in-service presentation for nurses about general anesthetics, the instructor determines that the teaching was successful when the nurses identify which of the following as an example of a gas anesthetic? Select all that apply
A) Halothane B) Desflurane C) Nitrous oxide D) Enflurane E) Cyclopropane
While performing a focused assessment, a nurse listens to a patient's heart and lung sounds. This is an example of an assessment technique called
1. Palpation. 2. Inspection. 3. Percussion. 4. Auscultation.
An older patient with osteoporosis has a history of falls and dementia. What intervention will best aid in the prevention of injuries?
1. using of wrist restraints 2. using furniture as obstacles to keep the patient in the bed 3. keeping the bed in a low position 4. keeping a nightlight on in the room
Which of the following is the best initial approach when a child has shown signs of regression?
a. Have the child sit in time-out and think about what he or she is doing and about his or her feelings. b. Ignore the regression, and compliment the child on positive attributes and behaviors. c. Ask the child why he or she is behaving like a little baby. d. Distract the child with new foods and new activities.