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Terms in this set (95)
9. A client is on complete bed rest and 3. Giving the client a back massage
complains of back pain from lying "in 5. Using music that contains no words
the bed all the time." What is a nursing 6. Instructing the client in guided imagery
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
,A patient recently got pregnant and A. Milk Thistle
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 patient with a terminal illness tells b. Sit quietly by the patient's bedside
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
,A mother whose young daughter has d. "It must be hard to deal with such a precious loss."
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."
he nurse is preparing to care for a c. Encourage expression of feelings, concerns, and
dying client, and several family fears.
members are at the client's e. Touch and hold the client's or family member's
bedside. Which therapeutic technique hand if appropriate.
should the nurse use when f. Be honest and let the client and family know they
communicating with the family? will not be abandoned by the nurse.
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.
, A client is close to death and the c. Your father will quit breathing, his heart will quit
family asks how the nurse will know pumping and he will have no blood pressure when I
when their father has died. What is the take it.
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.
The nurse's patient has just died and c. Check the patient's religious beliefs and discuss
the nurse is preparing him for viewing with the family member how they would like to have
by the family. What the body prepared.
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.