NUR 160 HESI Questions and Answers 2024 100% Correct
NUR 160 HESI Questions and Answers 2024 100% Correct checking for cyanosis in a patient who has a darker skin tone ANS-check the lips and mucous membranes to see if they are dusky in color how to accurately assess a client's baseline BP during a routine health exam ANS-measure the pressure in each arm while the client sits with the arm supported at heart level. (seated or supine) advancing oral intake from NPO ANS-ice chips or water first then advance to a clear liquid and up. best strategy to implement for the client's incontinence ANS-establish a 2-hour voiding schedule. intervention to reduce incidence of UTI in a client with a indwelling catheter ANS-cleanse perineum area with soap and water BID and PRN upset client about a recommendation about a AKA states "If they want to cut off my leg, they should just shoot me instead." how do you respond ANS-ask the client how the surgery might effect his lifestyle. (limp amputation alters he body image and changes a clients ADL, work & recreational activities which triggers grieving process for the client. determining the clients perceptions of the procedure's impact on his lifestyle, this is therapeutic & allows client to discuss his feelings. patient with cancer has been taking opioid analgesics for two years now & requires an increase in dose. client expresses fear of becoming addicted to these drugs ANS-explain that prescribed opiates for cancer pain relief improves quality of life. (this is the main goal of pain management for clients with cancer to minimize pain and improve quality of life.) intervention to help a client cope effectively with chronic pain ANS-encourage using relaxation techniques (effective long-term strategy to help a client control tension, anxiety and cope with chronic pain.) a young woman who is the primary caregiver for her mother who has alzheimer's disease states "Sometimes I hate my mother for living this long and my Dad for dying and not caring for her." How do you respond. ANS-"What do you do to cope with these feelings" (invites the client to share feelings and perceptions is most therapeutic)
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