1. A nurse is caring for a client who has rheumatoid arthritis and has moderate to severe
pain in multiple joints. Which of the following actions should
... [Show More] the nurse take to
provide comfort to this client?
Allow for frequent rest periods throughout the day
To maintain muscle strength, joint function and ROM
Warm shower instead of warm TUB baths
2. first trimester with an acupressure on wrist, indicates that this therapy is having
desired effects?
I have not vomited for the past two weeks
Using an acupressure band on the wrists is a type of complementary and alternative
therapy that applies pressure to a specific part of the body the client can use to
alleviate nausea and vomiting.
3. Risk of development of a pressure ulcer?
Recent weight loss
4. 4hr post op following a total vaginal hysterectomy, actions to take first?
Measure client’s VS
The first action the nurse should take when using the nursing process is to assess the
client. The nurse should measure the client's vital signs to assess for respiratory
depression and hypotension resulting from anesthesia.
5. A nurse in an emergency department is reviewing the prescriptions of an older adult
client who has type 1 DM. reports of severe ankle pain after falling from a stepstool at
home. Which order should the nurse verify with the provider?
Apply a cold pack to the edematous area on the client’s ankle for 30mins every
other hour
The nurse should verify a prescription for a cold pack because type 1 diabetes
mellitus is a contraindication for receiving cold therapy. A client who has type 1
diabetes mellitus can have impaired circulation due to arteriosclerosis and a loss of
sensory perception due to neuropathy.
6. Discharge teaching for a client who has colorectal cancer and is post op following a
new colostomy
Arrange for a referral to social services is correct. Arranging for a referral to social
services is appropriate for a client who faces challenges with self-care, as well as with
paying for medical equipment and supplies.
Initiate a consult with an enterostomal therapist is correct. Initiating a consult
with an enterostomal therapist can assist the client in learning to care for the
colostomy.
Provide the client with information about the American Cancer Society is
correct. The client can learn about helpful resources from the American Cancer
Society.
Postpone the client's discharge is incorrect. There is no indication that the client
should remain in the facility.
Give the client information about local support groups is correct. A client who
has cancer and a new colostomy can get help with coping from a support group.
7. Alprazolam/Xanax
Initiate fall precautions
Can cause orthostatic hypotension, dizziness, drowsiness and fainting upon
arising
8. Celiac dx diet teaching
Gluten free diet
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