ATI FUNDAMENTALS OF NURSING PROCTORED EXAM TEST BANK WITH NGN
28. nurse is caring for a client who report pain. when documenting the quality of the client's pain on an initial pain assessment, the nurse should record which of the following client statements? A. "I'm having mild pain." B. "the pain is like a dull ache in my stomach." C. "I notice that the pain gets worse after I eat." D. "the pain makes me feel nauseous." "The pain is like a dull ache in my stomach." The client is describing the quality of the pain, which is how the pain feels in her own words. 29. A nurse is administering an otc medication to an older adult client. Which of the following actions should the nurse take to ensure that the medication reaches the inner ear? A. press gently on the tarsus of the client's ear B. pack a small piece of cotton deep into the cent's ear canal A C. move the client's auricle down and back toward her head D. tilt the client's head backward for 5 min Press gently on the tragus of the client's ear. Pressing gently on the tragus of the ear will help the medication get into the inner ear. 30. A nurse in a long-term care facility is planning to perform hygiene care for anew resident. Which of the following assessment questions is the nurse's priority before beginning this procedure? A. "when do you usually bathe, in the morning or evening?" B. "do you prefer a bath or a shower?" C. "at what temperature do you prefer your bath water?" D. "are you able to help with you hygiene care?" "Are you able to help with your hygiene care?" The greatest risk to the client's safety is an injury resulting from an overestimation of the client's ability to help with hygiene care; therefore, the nurse’s priority is to assess the client's ability to assist with her hygiene care.
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