comfort

a nurse is planning care of a client who is your. which of the following action should the nurse take

encourage intake of at least 3 L of fluid per day

a nurse is caring for a client who is taking aspirin for arthritis. The nursery identify which of the following findings as an adverse effect of this medication

tinnitus

The nurse is teaching a client about how to use a patient controlled energizer pump. which of the following instructions for the nurse include in the teaching

use the pain scale to determine if you need to self administer

The nurse is providing discharge teaching for a client who has acute pancreatitis and has a prescription for a fat soluble vitamin supplements. The nurse should instruct the client to take a supplement for which of the following

vitamin A

My nurse is monitoring a client who took an overdose of acetaminophen 72 hours ago. The nurse should identify which the following findings are the manifestation of acetaminophen poisoning

vomiting

our nurses caring for client who has acute pancreatitis. After treating the client's pain, which of the following should the nurse address as a priority intervention

withhold oral fluids and food

The nurse is preparing to administer morphine sulfate 2 mg bolus period available is morphine sulfate 10 mg and ml. which how many milliliters to the nurse administer her dose

0.2 mL

A nurse is preparing to administer despamine 150 mg PO daily to a client to treat diabetic neuropathy. The amount available is desperamine 100 mg of tablet how many tablets will the nurse administer produce

1.5 desipramine

A nurse is planning care for two month old infant following a surgical procedure. which of the following pain rating scales should the nurse use to determine the pain level

FLACC

The nurse is caring for a 6-month-old infant who is postop following a marriage atomy. which of the following pains go to the nurse use to determine the infants pain level

FLACC

I charger is the supervisor newly license or is provided care for a client who is a PC pump period which allowing statements made by the nurse requires further action by the charge nurse

I discarded the remaining 2 mg of morphine from the PCA pump please document that you would witnessed it

A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyrogram. which of the following statements by the client should the nurse report to the provider

I don't eat shellfish because it gives me hives

The nurse is providing dietary teaching to a client who has calcium oxalate kidney stones period which of the following statements indicates an understanding of the teaching

I may eat a banana with my breakfast

The nurse is providing teaching to a client who has gout and a new prescription for allopurinol. which of the following statements by the client indicates and understanding of the teaching

I need to increase my food intake while taking this medication

A nurse is teaching a client who has had a totally knee arthroplasty about self administering morphine via a patient controlled and agesal infusion device. which of the following statements indicates an understanding of the teaching

I should tell the nurse if I can't control my pain with this device

A nurse is providing information about pain control for a client who has acute pain following a subtotal gastric or section. But do the following paint statements indicates an understanding of pain control

I will call for more pain medication before the previous dose wears off

A nurse is teaching a client who reports insomnia about promoting rest and sleep. which of the following statements to the nurse identify as an indication that the client understands the instructions

I will no longer have a glass of wine before bedtime

A nurse is caring for a client who requires cold applications with an ice bite to reduce the swelling and pain of an ankle injury. which of the following actions should the nurse take

apply the bag 30 minutes at a time

nurse is coaching for clients in the use of relaxation techniques to manage stress. which of the following findings indicates the techniques are effective

arousal reduction I picked three including this one, it said it was wrong but the rationale only says the relaxation response decreases behavioral arousal. does not explain the other ones as correct or incorrect.

A nurse is reviewing the medication administration records of four clients have a prescription for morphine PRN. which of the following finance to the nurse identifies a continuation to this medication

The patient with a paralytic ileus

Henderson is caring for a client has rheumatoid arthritis and tells the nurse that she wears a copper bracelet to help her feel better. which of the following responses should the nurse make

Yes I understand that you feel better wearing your bracelet

My nurse is teaching a client who has a new prescription for codeine. which of the following instructions for the nursing include in the teaching

You should change positions slowly

The nurse is providing discharge teaching for a client who has chronic pancreatitis. which of the following statements should the nurse make

You should increase your daily intake of protein

My community health nurse is preparing a presentation about complimentary and alternative therapies. which of the following therapy should the nurse described as means of manipulating a series of channels to re-establish the flow provider energy within the body

acupuncture

her nurse is caring for toddler who is 24-hour post-op falling a cleft palate repair. which of the following actions should the nurse take

administer opioids for pain

A nurse is caring for a client who reports the current flank pain, nausea, involving for 24 hours. which of the following actions is a nurse's priority

administer pain medication

A nurse is caring for a client who is one day post office following gynecological surgery and report sensational pain. which of the following action should the nurse take first

ask the client to write their pain on the scale of 0 to 10

The nurse is applying a cold compress for a client who has pain in minor swelling in a sutured laceration on the forearm. which of the following assessments should the nurse use to determine whether the treatment is affective

asking the client to write the pain

a nurse is planning care for a client who is 4 hours post-op. which of the following actions should the nurse include in the plan of care

assist the client to cough in deep breathe every hour administer PRN analgesics as needed give the client a back massage teach the client relaxation techniques

a nurse is caring for a client who had a total hip orthoplasty one day ago and is receiving morphine sulfate by PCA pump for pain control. The client reports nausea and vomiting. which of the following actions should the nurse take

auscultate bowel sounds

A nurse is preparing a presentation at a community center about complimentary and alternative therapies. which of the following therapies should the nurse describe as programming the mind to override the stress response

autogenic training

A nurse is providing dietary teaching to a client who has frequent kidney stones. which of the following instructions to the nurses include in the teaching

avoid eating tree not such as almonds

A nurse is educating coworkers about how to minimize back strain and avoid repeated episodes of low back pain. which of the following strategies to the nursing include

avoid prolonged sitting sleep in a side-lying position with flexed knees try padded shoe insoles

A nurse is preparing a presentation at a community center about complementary and alternative therapies. which of the following therapies to the nurse describe as the use of an electronic monitoring device to help clients learn to control physical responses to stress

biofeedback

A nurse is teaching a client about the use of chamomile. which of the following information should the nurse include in the teaching

chamomile may ask act as a calming agent

A nurse is caring for a client who is receiving hydromorphone via PCA pump and reports can continuous pain of sex on a scale from 0 to 10. which of the following actions to the nurse take first

check the display on the PCA pump

A nurse is providing teaching to a client has a history of pancreatitis. which of the following food choices to the nurse can strike the client to avoid

cheddar cheese

The nurse is teaching a client who has a new prescription for pancrelipase to aid and digestion period The nurse should inform the client to expect which of the following gastrointestinal changes

decreased fat in stools

A nurse is teaching a client who is your own lethalosis. The nurse should explain that which of the following conditions can increase the risk for renal calculi

dehydration

My nurse is caring for a client he requests prescription pain medication. which of the following actions should the nurse perform first

determine the location of the pain

A nurse is providing dietary teaching to a client who has a history of recurring calcium oxalate kidney stones. which of the following instructions should the nurse include in the teaching

drink 3 L of fluid everyday

0 A nurse is planning care for a client whose post-op. which of the following statements about pain management should the nurse consider when implementing care

each client's expression of pain may be different in individualized PCA pumps offer constant level of opioids within therapeutic range pain level and pain tolerance can be obsessed using a scale of zero to 10

A nurse is teaching client who is fibromyalgia syndrome about measures to reduce the occurrence of symptoms? which of the following intervention should the nurse include in the teaching

establish a regular sleep pattern

The nurse is caring for a client who reports difficulty sleeping while in the hospital. which of the following actions should be taken by the assistive personnel while the client is sleeping should prompt the nurse to intervene

flushes the clients toilet after emptying the urinary catheter drainage bag

The nurse is coming for a three-year-old whose parents report that she is an intense fear painful procedures such as injections. which of the following strategies to the nurse add to the child's plan of care

have a parent stay with the child during procedures perform the procedures quickly as possible hello the child to keep a toy from home with her

The nurse is caring for 6 month old and foot period which of the following fighting should indicate to the nurse that the client is experiencing pain following a procedure

increase crying episodes

A nurse is assessing a client who reports acute pain period The nurse should anticipate which of the following findings

increased heart rate

a nurse admits a client to the emergency department who reports nausea and vomiting that worsens when he lies down. and as it's don't help. The provider suspects acute pancreatitis. which of the following laboratory results to the nurse expect to see

increased serum amylase

The nurse is talking with a client who's about to start using transcutaneous electric nerve stimulation or tens to manage chronic pain. which of the following statements to their nurse identifies and indication that the client needs further teaching

it's unfortunate that I have to be in the hospital for this treatment

Henderson is teaching a client who takes acetaminophen daily to manage mild kidney pain. The nursing strike the client to monitor for which of the following adverse reactions to this medication

jaundice

A nurse is providing teaching to a client has a new diagnosis of fibromyalgia. which of the following client statements indicates an understanding of the teaching

low impact aerobics can help reduce episodes of pain

A nurse is caring for a client who is in labor. which of the following nursing actions reflects application of the gate control theory of pain

massage the clients back

A nurse is caring for a client who has menopause on us the nurse about the use of herbal therapies to reduce her comfort. which of the following statement should the nurse make

mini herbal products have not undergone long-term testing for safety and efficacy

Henry's managers presenting to a group of unit nurses the categories regulated under the control substance act. which of the following medication prescription should the nurse include under schedule 2

morphine

A nurse is preparing to administer now buffain to a post-operative client who is experiencing pain. The nurse should monitor the client for which of the following potential adverse effects of this medication

nalbuphine miosis blurred vision and diplopia too

A nurse is caring for a client who has opiate toxicity and has a respiratory rate of 6 a minute. which of the following medication should the nurse plan to administer

naloxone

A nurse is preparing to administer morphine IV to a client period which is line medication to the nurse plan to have available

naloxone

The nurse is planning to administer butterfrontal to a client who is in labor. which of the following medication to the nurse plan to have available to reverse the action of this medication

naloxone butorphanol

A nurse is creating a plan of care for a child who is sickle cell anemia period which of the following intervention should the nurse include in the plan

observed for symptoms of hypokalemia

a nurses discharging a child who has sickle cell anemia after acute crisis episode. which of volume instructions show the nurse include in the teaching

offer fluids to your child multiple times everyday

A nurse is caring for a client who is post operative following a cholestectomy reports pain. which of the point action should the nurse take

offer the client a back rub remind the client to use incisional splinting identify the client's pain level change the clients position

A nurse is administering morphine 2 mg IV every 2 to 4 hours to a client who has an abdominal incision. The nurse should monitor the client for which of the following adverse effects

orthostatic hypotension

A nurse is assessing a child who is in sickle cell crisis. which of the following findings for the nurse expect

pain

A nurse is preparing a presentation at a community center about complimentary and alternative therapies. which of the following therapy should the nurse describe is placing your hands on or above the client's body to transfer energy to the client

reiki

A nurse is attempting to flush the Ivan saline lock for client. The client reports pain above the catheter site. which of the following actions should the nurse take

remove the IV saline lock

A nurse is caring for a client who is post-op falling abdominal surgery and reports incisional pain. The surgeon has prescribed for morphine 4 mg IV bolus every 6 hours as needed. before administering this medication the nurse should compete which priority assessment

respiratory rate

The nurse is assessing a client prior to administration of morphine period The nurse of recognized that which of the following assessments is the priority

respiratory rate

Henderson is assessing a client 15 minutes after administering morphine sulfate 2 mg via IV push. The nerve should identify which is volume findings was an adverse effect of the medication

respiratory rate 8/min

A nurse is monitoring a client who is post up and unable to respond to questions. which of the following nonverbal behaviors to the nurse identify as an indication that the client has pain

restlessness, grimacing, and clenching

A nurse is caring for a client who is post-dot. The nurse should base her pain management interventions primarily on which of the following methods to determine the intensity of the client's pain

self-report

A nurse is performing a pain assessment for a client who is alert. The nurse should recognize that which of the following measures was the most reliable indicator of pain

self-report

A nurse is caring for a client who has a herniated lumbar disc and reports pain period The nurse should assist the client into which of the following positions to help reduce the pain

semi-fowlers with a pillow under her knees

A nurse is caring for a client who is receiving he applications using an aqua thermia pad. which of the following action should the nurse take when applying the pad

stop the treatment if the client's skin becomes red

The nurse is coming for a client who reports low back pain and asked the nurse for specific exercise recommendations. which of the following activity should the nurse suggest

swimming

A nurse is teaching a client who has a new prescription for ibuprofen to treat hip pain. which of the following instructions to the nurse include in the teaching

take the medication with food

A nurse is caring for a client who is the start therapy with ibuprofen for hip pain. which of the following information should the nurse provide about ibuprofen

take with food

a a nurse's prioritizing client care after receiving change of shift report. which of the following clients to the nurse plan to see first A client who scheduled for an abdominal x-ray and is awaiting transport a client who has a prescription for discharge a client who received oral pain medication 30 minutes ago The client who told assisted personnel he is short of breath

the short of breath patient

A nurse is caring for a 6 month old infant period which of the following findings indicates that to the nurse that the infant may be experiencing pain

thrilled brow

A nurse is caring for a client who has chemotherapy induced peripheral neuropathy. The nurse expect the client to report having experience which of the following symptoms

tingling feeling in the extremities

The nurse is caring for Clay he was using a patient control and energy as a pump for post-operative pain management. The neuroscenter is the room to find the client asleep and his partner pressing the button to dispense another dose. which of the following responses should the nurse make

your husband should decide when more medication is needed