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 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.
3. 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.
4. Risk of development of a pressure ulcer?
• Recent weight loss
5. 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.
6. 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.
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 [Show Less]