lOMoARcPSD|67691079
¶: A client who is 2 days postoperative for thoracic surgery is reporting
incisional pain 2 hours after receiving pain medication. The client rates the
pain as 5 on a pain scale of 0 to 10. After placing a call to the healthcare
provider, which action should the nurse implement?
Options:
A. Provide at least 20 minutes of back massage and gentle effleurage.
B. Instruct the client to use guided imagery and slow rhythmic
breathing.
C. Place a hot water circulation device, such as an aquathermia pad, on
the operative site.
D. Tune to a television show or easy listening music to provide
distraction.
Ans A
¶: Twelve hours following a unilateral total knee replacement, a client
reports being unable to sleep because of severe incisional pain. What is the
best initial nursing action?
Options:
A. Instruct the client in use of the prescribed patient-controlled
analgesia (PCA) pump.
B. Assist the client in assuming a lateral recumbent position for
comfort.
C. Initiate continuous passive motion (CPM) to relieve muscle spasms.
D. Apply ice to the incision for twenty minutes prior to joint flexion
exercises.
¶: The nurse knows that skin turgor changes with age. Which intervention is
most helpful in dealing with normal aging changes of the skin?
Options:
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, lOMoARcPSD|67691079
A. Apply a lubricating lotion to the skin.
B. Pad all bony prominences.
C. Encourage a high protein diet.
D. Bathe with a mild soap daily.
¶: After a seven-day treatment with an IV antibiotic, the healthcare provider
discharges a client from the hospital and writes a prescription for an oral
antibiotic. While providing discharge instructions, the nurse notes that the
dosage for the oral antibiotic is significantly higher than the IV antibiotic.
Which resource should the nurse use first in resolving the situation?
Options:
A. Medication reference guide.
B. Nursing unit charge nurse.
C. Healthcare provider.
D. Hospital pharmacist.
¶: The home health nurse is reviewing the personal care needs of an older
adult client who lives alone. What client assessment finding(s) indicate(s) the
need to assign an unlicensed assistive personnel (UAP) to provide routine
foot care and has the client’s toenails? Select all that apply.
Options:
A. Shuffling gait.
B. Urinary incontinence.
C. Syncope when bending.
D. Hand tremors.
¶: A nurse finds a confused client wandering in the hallway during the night.
What actions should the nurse implement? Select all that apply.
Options:
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¶: A client who is 2 days postoperative for thoracic surgery is reporting
incisional pain 2 hours after receiving pain medication. The client rates the
pain as 5 on a pain scale of 0 to 10. After placing a call to the healthcare
provider, which action should the nurse implement?
Options:
A. Provide at least 20 minutes of back massage and gentle effleurage.
B. Instruct the client to use guided imagery and slow rhythmic
breathing.
C. Place a hot water circulation device, such as an aquathermia pad, on
the operative site.
D. Tune to a television show or easy listening music to provide
distraction.
Ans A
¶: Twelve hours following a unilateral total knee replacement, a client
reports being unable to sleep because of severe incisional pain. What is the
best initial nursing action?
Options:
A. Instruct the client in use of the prescribed patient-controlled
analgesia (PCA) pump.
B. Assist the client in assuming a lateral recumbent position for
comfort.
C. Initiate continuous passive motion (CPM) to relieve muscle spasms.
D. Apply ice to the incision for twenty minutes prior to joint flexion
exercises.
¶: The nurse knows that skin turgor changes with age. Which intervention is
most helpful in dealing with normal aging changes of the skin?
Options:
messages.downloaded_by
, lOMoARcPSD|67691079
A. Apply a lubricating lotion to the skin.
B. Pad all bony prominences.
C. Encourage a high protein diet.
D. Bathe with a mild soap daily.
¶: After a seven-day treatment with an IV antibiotic, the healthcare provider
discharges a client from the hospital and writes a prescription for an oral
antibiotic. While providing discharge instructions, the nurse notes that the
dosage for the oral antibiotic is significantly higher than the IV antibiotic.
Which resource should the nurse use first in resolving the situation?
Options:
A. Medication reference guide.
B. Nursing unit charge nurse.
C. Healthcare provider.
D. Hospital pharmacist.
¶: The home health nurse is reviewing the personal care needs of an older
adult client who lives alone. What client assessment finding(s) indicate(s) the
need to assign an unlicensed assistive personnel (UAP) to provide routine
foot care and has the client’s toenails? Select all that apply.
Options:
A. Shuffling gait.
B. Urinary incontinence.
C. Syncope when bending.
D. Hand tremors.
¶: A nurse finds a confused client wandering in the hallway during the night.
What actions should the nurse implement? Select all that apply.
Options:
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