The relief of pain and suffering give a patient comfort, dignity, respect, and peace. To enhance the therapeutic environment, what should the nurse do?
a. Make the environment as noise free as possible.
b. Remove personal items so that the environment is as clinical as possible.
c. Focus on removing negative physical stimuli.
d. Make the environment a place to soothe mind, body, and spirit.
D
The relief of pain and suffering are caring nursing actions that give a patient comfort, dignity, respect, and peace. By ensuring that the patient care environment is clean, reasonably quiet, and pleasant and inclusive of personal items, you make the physical environment a place that soothes and heals the mind, body, and spirit.
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When teaching patients taking St. John's wort about drug and food interactions, the nurse will inform them of the following precautions:
A. Avoid foods containing large amounts of tyramine. B. Eat adequate amounts of meat and cheese. C. Increase the length of time in sunlight. D. Consult your physician before taking any over-the-counter flu and cold medications. E. It may decrease the effects of MAOIs.
The nurse uses the Glasgow Coma Scale (GCS) to assess the level of consciousness (LOC) of a female client and records the LOC score as 6 . What does an LOC score of 6 in a client indicate?
A) Comatose B) Somnolence C) Stupor D) Normal
The nurse assesses the patient's tympanic membrane. Which is considered a normal assessment finding?
1) Light pink 2) Deep red 3) Pearly gray 4) Yellow-white
The patient has been receiving chlorpromazine (Thorazine) for the treatment of schizophrenia. The nurse assesses that the patient has tardive dyskinesia. What describes the result of the nurse's assessment?
1. Tremor, muscle rigidity, and a shuffling gait 2. Severe muscle spasms of the back, neck, and tongue 3. An inability to rest or relax, and restlessness 4. Unusual facial movements and lip smacking