ANSWERS
______ rinses for chemo patients correct answer Normal saline
________ swabs dry the mucous membrane and erodes enamel correct answer
Lemon glycerine
▪ A client has just undergone an appendectomy. When
discussion with the client several pain relief
interventions, the most appropriate recommendation
would be correct answer PCA pain management
▪ Active listening correct answer Ears open and mouth shut
Mind active
▪ Validating feelings/normalizing grief process
▪ Providing accurate information
▪ Suggesting options
Not the same as giving advice
Do not use the phrase "you should" or "you shouldn't"
▪ Distribution correct answer The transport of a drug by the bloodstream to its
site of
action
▪ Following a surgical procedure, an older Chinese woman
,refuses to perform the ROM and breathing exercises
requested, in addition is hesitant to complete the
hygienic care and grooming. The nurse recognizes that
this is most likely related to correct answer reliance upon family members to
assist with
care
▪ Guidelines for goals and expected outcomes correct answer Client-centered
Singular goal or outcome
Observable
Measurable
Time limited
Mutual factors
Realistic
▪ Pulse deficit correct answer Compare radial for a min. against apical for a min.
Greater than 2 beats off, then there is some alteration
▪ True or false: a patient experiencing chronic pain is in
danger of experiencing respiratory depression when
taking opioids as a long-term therapy correct answer False
▪ When helping a person through grief work, the nurse
knows that correct answer the stages of grief may occur in the standard
order, they may be skipped, or they may reoccur
,➢ Assess for gag reflex
➢ Sims position
➢ Suction available
➢ Never use your finger to keep mouth open
➢ Need more frequent oral care
➢ Petroleum jelly on lips correct answer Oral hygiene for unconscious patient
➢ Barriers correct answer ▪ Socializing
▪ Giving unrestricted and sometimes unasked for
advice
▪ Offering premature or inappropriate reassurance
▪ Giving overready encouragement
▪ Defending a situation or opinion
▪ Using stereotyped comments or cliches
▪ Limiting expression of emotion by asking
directed, close-ended questions
▪ Interrupting and finishing a person's sentence
▪ Talking more than the interviewee
▪ Forming prejudged conclusions
▪ Deliberately changing the focus
▪ Communicating with families through an interpreter
Communicate directly with family members when
asking questions to reinforce interest in them and to
, observe nonverbal expressions, but do not ignore the
interpreter
Post questions to elicit only one answer at a time
▪ Communicating with children
Active attempts to make friends with children before
they have had an opportunity to evaluate an unfamiliar
person tends to increase their anxiety
Continue to talk to the child and parent but go about
activities that do no involve the child
Communicating with children
♦Avoid sudden or rapid advances, broad smiles,
extended eye contact, or other gestures that may
seem threatening
♦Communicate through transition objects such as
dolls etc.
♦Assume a position that is at eye level with the child
♦Be honest
➢ Client-inherent accidents correct answer ▪ Accidents where the client is the
primary reason for the
accident
➢ Common types of urinary alterations correct answer ▪ Urgency - feeling of need
to void immediately
▪ Dysuria - painful or difficult urination