An older patient is experiencing mouth pain rated 6 on a 10 point pain scale. What action should the nurse take first?
1. Medicate the patient with a prescribed mild analgesic.
2. Carefully inspect the patient's mouth, teeth, and tongue.
3. Notify the physician in charge about the patient's problem.
4. Instruct the patient to begin rinsing the mouth with an isotonic solution.
2
Rationale: The nurse should not medicate the patient for complaints of mouth pain until the source of the pain can be determined.
You might also like to view...
The manner in which clients respond to being hospitalized is, in large part, determined by how they react to
1. other people. 2. being confined to bed. 3. other threats or crises. 4. the expenses associated with hospitalization.
A client with otitis media asks how an infection can occur that deep into the ear. The best response by the nurse is:
1. "The eustachian tube is connected to the nasopharynx." 2. "The eardrum only protects the inner ear from infection." 3. "The infection begins because you put your fingers in your ear." 4. "Swimming introduces bacteria into the middle ear."
A certified nursing assistant (CNA) at a local nursing home logs on to the facility's clinical information system and can only see information about assigned clients except for financial data. Which type of security is applied to this system?
A) Password protection B) Computer forensics C) Access levels D) User authentication
The client who has experienced a stroke has impairment of cranial nerve IX. What nursing intervention for nutrition should the nurse implement to prevent complications from this problem?
A. Turn the client's plate around halfway through the meal to ensure that the client sees and eats the entire meal. B. Position the client in the upright position with the head slightly forward and flexed during meals. C. Order a clear liquid diet for the client. D. Weigh the client twice weekly.