CORRECT ANSWERS 100% VERIFIED!!
A client is on complete bed rest and complains of back pain from lying "in the
bed all the time." What is a nursing intervention that uses a nonpharmacologic
method to ease the discomfort? (Select all that apply.)
1. Administering a dose of morphine for pain
2. Assisting the client to a bedside chair
3. Giving the client a back massage
4. Instructing the client that the health care provider will see him tomorrow night
5. Using music that contains no words
6. Instructing the client in guided imagery
3. Giving the client a back massage
5. Using music that contains no words
6. Instructing the client in guided imagery
A patient recently got pregnant and tells the nurse, "I don't understand, I have
been on oral contraceptive pills for years." The nurse reviews medical history
with the patient and realizes that what herbal substance could be to blame for the
unintended pregnancy?
A. Milk Thistle
B. Echinacea
C. Ginseng
D. Valerian
A. Milk Thistle
A patient with a terminal illness tells the nurse, "I have lived a long life. I am ready
to go." What is the nurse's best response?
a. Offer the patient a back rub
b. Sit quietly by the patient's bedside
c. Tell the family about the patient's statement
d. Discuss with the patient how dying is part of the life cycle
b. Sit quietly by the patient's bedside
A mother whose young daughter has died of leukemia is crying and is unable to
talk about her feelings. Which is the best response by the nurse?
a. "Everyone will remember her because she was so cute. She was one of our
favorites."
b. "As hard as this is, it is probably for the best because she was in a lot of pain."
c. "She put up the good fight but now she is out of pain and in heaven."
d. "It must be hard to deal with such a precious loss."
d. "It must be hard to deal with such a precious loss."
,he nurse is preparing to care for a dying client, and several family members are at
the client's
bedside. Which therapeutic technique should the nurse use when communicating
with the family?
Select all that apply.
a. Discourage reminiscing.
b. Make the decisions for the family.
c. Encourage expression of feelings, concerns, and fears.
d. Explain everything that is happening to all family members.
e. Touch and hold the client's or family member's hand if appropriate.
f. Be honest and let the client and family know they will not be abandoned by the
nurse.
c. Encourage expression of feelings, concerns, and fears.
e. Touch and hold the client's or family member's hand if appropriate.
f. Be honest and let the client and family know they will not be abandoned by the
nurse.
A client is close to death and the family asks how the nurse will know when their
father has died. What is the best response the nurse can state to the family?
a. Your loved one will quit breathing and the machine will alarm.
b. Your father's blood pressure will drop.
c. Your father will quit breathing, his heart will quit pumping and he will have no
blood pressure when I take it.
d. It should be shortly as his blood pressure has already dropped. I am just
waiting for him to stop breathing.
c. Your father will quit breathing, his heart will quit pumping and he will have no
blood pressure when I take it.
The nurse's patient has just died and the nurse is preparing him for viewing by
the family. What
preparations should the nurse make first for the viewing?
a. Give the patient a bath, change the bed, and put on a fresh gown.
b. Position the patient with his arms to his side, close his eyes, close his mouth,
and remove all the jewelry.
c. Check the patient's religious beliefs and discuss with the family member how
they would like to have the body prepared.
d. Tape all tubes per protocol, clean the room, remove supplies from the bedside,
and lower the lights.
c. Check the patient's religious beliefs and discuss with the family member how
they would like to have the body prepared.
nurse is guiding her patient's family through the death of their grandmother. She
asks what religion the family is and they reply that they are Hindu. What is a
Hindu's belief on cremation?
, a. Cremation is opposed as is autopsies.
b. Cremation is preferred.
c. All parts of the body need to be buried, not cremated.
d. The patient needs to be dressed in their "temple clothes" before cremation.
b. Cremation is preferred.
Which is an important concept to consider about anxiety to provide appropriate
nursing care?
a. Panic attacks generally have a slower onset that can be prevented if identified
early.
b. One can conceptualize anxiety as being similar to the health-illness continuum.
c. People who lead healthy lifestyles rarely experience anxiety.
d. Anxiety is an abnormal reaction to realistic danger.
b. One can conceptualize anxiety as being similar to the health-illness continuum.
A patient is told that surgery is necessary, and the patient begins to experience
elevations in pulse, respirations, and blood pressure. Which stage of anxiety is
indicated by these nursing assessments?
a. Mild-the vital signs remain the same as at resting stage
b. Moderate-the pulse, respirations, and blood pressure are slightly elevated
c. Severe-pulse and respirations are rapid, blood pressure is high
d. Panic-pulse and respirations are very rapid, blood pressure is high, pt may
hyperventilate
b. Moderate-the pulse, respirations, and blood pressure are slightly elevated
A nurse is teaching a patient about the positive effects of exercise to reduce
anxiety. Which patient comment about how exercise reduces anxiety indicates
that the patient understand the nurse's teaching?
a. "It stimulates the production of endorphins."
b. "It interferes with the ability to concentrate."
c. "It reduces the metabolism of epinephrine."
d. "It decreases the acidity of blood."
a. "It stimulates the production of endorphins."
nurse identifies that a patient is mildly anxious. Which assessment of the patient
supports this conclusion?
a. Preoccupied-this is moderate anxiety
b. Forgetful-this is moderate anxiety
c. Fearful-this has nothing to do with anxiety
d. Alert-Increased alertness occurs when one is mildly anxious. Alertness and
vigilance are the result of an increase in one's perceptual field and state of
arousal in response to the stimulation of the autonomic system when one feels
threatened.
d. Alert-Increased alertness occurs when one is mildly anxious. Alertness and
vigilance are the result of an increase in one's perceptual field and state of