A nurse cares for a client with burn injuries who is experiencing anxiety and pain. Which nonpharmacologic comfort measures should the nurse implement? (Select all that apply.)

a. Music as a distraction
b. Tactile stimulation
c. Massage to injury sites
d. Cold compresses
e. Increasing client control


ANS: A, B, E
Nonpharmacologic comfort measures for clients with burn injuries include music therapy, tactile stimulation, massaging unburned areas, warm compresses, and increasing client control.

Nursing

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A 45-year-old diabetic male is experiencing erectile dysfunction. If his erectile dysfunction is caused by the nervous system, then the nurse can educate the patient that the venous blood supply to the penis is controlled by

A) sacral parasympathetic fibers. B) the hypothalamus. C) the vagus nerve. D) postganglionic sympathetic neurons.

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The nurse has implemented a bladder retraining program for an older adult patient. The nurse places the patient on a timed voiding schedule and performs an ultrasonic bladder scan after each void

The nurse notes that the patient typically has approximately 50 mL of urine remaining in her bladder after voiding. What would be the nurse's best response to this finding? A) Perform a straight catheterization on this patient. B) Avoid further interventions at this time, as this is an acceptable finding. C) Place an indwelling urinary catheter. D) Press on the patient's bladder in an attempt to encourage complete emptying.

Nursing

The nurse is assessing a client exposed to an unknown biologic agent. Which symptoms would cause the nurse to suspect gastrointestinal anthrax exposure? Select all that apply.

A) Abdominal pain B) Vomiting C) Fever and chills D) Constipation E) Confusion

Nursing

Mrs. Greene, who is 68 years old, is at your clinic for her annual physical. She is quiet and does not use her usual quick sense of humor. She tells you, "I feel like an old rag. I can't hear or see as well as I could before

What's wrong with me?" You are able to tell her: A) "Mrs. Greene, some vision and hearing loss is normal in the aging process. The doctor can run some tests and discuss options with you." B) "Mrs. Greene, don't worry. I'm sure it's nothing!" C) "Well, at least you don't need to worry about driving anymore." D) "Why are you feeling so concerned, Mrs. Greene?"

Nursing