Podcast
Questions and Answers
Which statement indicates the client has identified methods to relieve stress?
Which statement indicates the client has identified methods to relieve stress?
- Client will report a 50% decrease in night awakenings within 1 week.
- Client can identify ways to relieve stress during the day and before bedtime. (correct)
- Client maintains a sleep/wake log for 1 month.
- Client establishes bedtime rituals, such as having a glass of wine before bed.
Which nursing intervention might help in promoting better sleep for the client?
Which nursing intervention might help in promoting better sleep for the client?
- Instruct the client to keep work reading material at the bedside.
- Monitor bedtime food and beverage intake that might interfere with sleep. (correct)
- Encourage the client to binge-watch shows before bedtime.
- Advise the client to consume caffeine in the evening.
What is the best explanation of obstructive sleep apnea (OSA) that the nurse can provide?
What is the best explanation of obstructive sleep apnea (OSA) that the nurse can provide?
- The airway remains open, but the brain fails to send messages to the diaphragm.
- It is caused by a dysfunction of mechanisms that regulate sleep and wake states.
- It is a syndrome characterized by chronic difficulty falling asleep.
- There is a lack of airflow through the nose and/or mouth for periods of 10 seconds or longer during sleep. (correct)
Which of the following statements is considered subjective data about the client's sleep?
Which of the following statements is considered subjective data about the client's sleep?
What is the most appropriate room assignment for the client based on their condition?
What is the most appropriate room assignment for the client based on their condition?
Which intervention could best promote sleep for a hospitalized client?
Which intervention could best promote sleep for a hospitalized client?
Which client behavior suggests a need for further intervention regarding sleep habits?
Which client behavior suggests a need for further intervention regarding sleep habits?
What could be an effective intervention for a client experiencing sleep issues?
What could be an effective intervention for a client experiencing sleep issues?
What is the most effective nurse response to the client’s concerns about returning to work?
What is the most effective nurse response to the client’s concerns about returning to work?
Which method is best for evaluating improvement in the client’s obstructive sleep apnea (OSA)?
Which method is best for evaluating improvement in the client’s obstructive sleep apnea (OSA)?
Which initial response is best for addressing a parent's concerns about a teenager's sleep habits?
Which initial response is best for addressing a parent's concerns about a teenager's sleep habits?
Which statement provides the most accurate information about adolescent sleep patterns?
Which statement provides the most accurate information about adolescent sleep patterns?
Which factor is most likely to influence the client's perception of pain?
Which factor is most likely to influence the client's perception of pain?
To assess the quality of the client's pain, which question is most effective?
To assess the quality of the client's pain, which question is most effective?
What behavior should the nurse document as an objective sign of acute pain?
What behavior should the nurse document as an objective sign of acute pain?
Which option best assesses the impact of pain on the client's daily life?
Which option best assesses the impact of pain on the client's daily life?
What should the nurse prioritize when managing the client's pain medication?
What should the nurse prioritize when managing the client's pain medication?
In a situation where the client is showing low oxygen saturation, what should the nurse do first?
In a situation where the client is showing low oxygen saturation, what should the nurse do first?
Which task could be delegated to the unlicensed assistive personnel (UAP) regarding a postoperative client?
Which task could be delegated to the unlicensed assistive personnel (UAP) regarding a postoperative client?
What is the most critical action for the nurse to take before administering antibiotic medication?
What is the most critical action for the nurse to take before administering antibiotic medication?
How many 250 mg tablets of levofloxacin should the nurse administer if the order is for 750 mg?
How many 250 mg tablets of levofloxacin should the nurse administer if the order is for 750 mg?
Which observation should specifically be documented in the nurse's assessment?
Which observation should specifically be documented in the nurse's assessment?
In regards to vital sign monitoring, what would be the appropriate action in this postoperative scenario?
In regards to vital sign monitoring, what would be the appropriate action in this postoperative scenario?
What should be done if the client's oxygen saturation is found to be critically low?
What should be done if the client's oxygen saturation is found to be critically low?
How many mL should the nurse expect to administer for a prescribed dose of 30 mg of ketorolac, given it comes in a concentration of 20 mg/mL?
How many mL should the nurse expect to administer for a prescribed dose of 30 mg of ketorolac, given it comes in a concentration of 20 mg/mL?
Which site should the nurse choose for an intramuscular injection in a fairly thin client?
Which site should the nurse choose for an intramuscular injection in a fairly thin client?
What anatomical landmark should the nurse use to locate the appropriate injection site for an IM injection?
What anatomical landmark should the nurse use to locate the appropriate injection site for an IM injection?
When administering an intramuscular injection, which of the following actions should the nurse perform?
When administering an intramuscular injection, which of the following actions should the nurse perform?
To ensure the exercise is most effective, what action should the nurse implement?
To ensure the exercise is most effective, what action should the nurse implement?
What instruction should the nurse provide next after administering an intramuscular injection?
What instruction should the nurse provide next after administering an intramuscular injection?
What is the best time for the nurse to educate the client about the use of the PCA?
What is the best time for the nurse to educate the client about the use of the PCA?
Which action should the nurse take to reduce drug errors by the nursing staff?
Which action should the nurse take to reduce drug errors by the nursing staff?
What is the total dosage of morphine the client has received in the last 4 hours?
What is the total dosage of morphine the client has received in the last 4 hours?
What is the most likely reason for the client's change in pain management requirements?
What is the most likely reason for the client's change in pain management requirements?
What is the rationale for combining hydrocodone and acetaminophen in pain management?
What is the rationale for combining hydrocodone and acetaminophen in pain management?
What would be the best response by the nurse regarding the docusate sodium?
What would be the best response by the nurse regarding the docusate sodium?
What is the priority intervention for the nurse of the client?
What is the priority intervention for the nurse of the client?
Which ethical principle does the nurse's response illustrate?
Which ethical principle does the nurse's response illustrate?
Why might the nurse consult the surgeon about discontinuing morphine?
Why might the nurse consult the surgeon about discontinuing morphine?
What potential side effect should the nurse be aware of when managing opioid medications?
What potential side effect should the nurse be aware of when managing opioid medications?
What nursing intervention should be implemented to care for the client's mouth?
What nursing intervention should be implemented to care for the client's mouth?
What intervention should the nurse implement for a patient with respiratory issues?
What intervention should the nurse implement for a patient with respiratory issues?
What is the best response by the nurse to a family expressing anger about their loved one’s situation?
What is the best response by the nurse to a family expressing anger about their loved one’s situation?
How should the nurse respond to the family's request for a massage for the client?
How should the nurse respond to the family's request for a massage for the client?
According to the Kubler-Ross Model, how should the nurse categorize the adolescent's statements about loss?
According to the Kubler-Ross Model, how should the nurse categorize the adolescent's statements about loss?
What is the best course of action for a nurse addressing a child's grief regarding a loss?
What is the best course of action for a nurse addressing a child's grief regarding a loss?
Which phrase should the nurse recommend to help explain death to a child?
Which phrase should the nurse recommend to help explain death to a child?
What information should the nurse provide to the client's spouse regarding medication orders?
What information should the nurse provide to the client's spouse regarding medication orders?
Flashcards
Hospice Mouth Care
Hospice Mouth Care
Daily cleaning of the mouth to prevent sores and discomfort.
Suctioning Oral Secretions
Suctioning Oral Secretions
Removing secretions from the mouth and throat to maintain a clear airway and comfort.
Grief Response - Denial
Grief Response - Denial
A stage of emotional distress where the individual rejects or refuses to accept reality of the loss.
Cultural Sensitivity in Grief
Cultural Sensitivity in Grief
Signup and view all the flashcards
Honest yet Simple Communication
Honest yet Simple Communication
Signup and view all the flashcards
Appropriate Language for Loss
Appropriate Language for Loss
Signup and view all the flashcards
Family's Request for Alternative Therapy
Family's Request for Alternative Therapy
Signup and view all the flashcards
Patient's Medication Route
Patient's Medication Route
Signup and view all the flashcards
Oxygen Saturation Level
Oxygen Saturation Level
Signup and view all the flashcards
Postoperative Care Delegation
Postoperative Care Delegation
Signup and view all the flashcards
Priority Nursing Action
Priority Nursing Action
Signup and view all the flashcards
Documenting Abnormal Findings
Documenting Abnormal Findings
Signup and view all the flashcards
Medication Administration Timing
Medication Administration Timing
Signup and view all the flashcards
Medication Calculation
Medication Calculation
Signup and view all the flashcards
Abnormal Vital Signs
Abnormal Vital Signs
Signup and view all the flashcards
Clinical Judgement
Clinical Judgement
Signup and view all the flashcards
OSA Symptoms
OSA Symptoms
Signup and view all the flashcards
Sleep Interventions
Sleep Interventions
Signup and view all the flashcards
Sleep/Wake Log
Sleep/Wake Log
Signup and view all the flashcards
Subjective Data
Subjective Data
Signup and view all the flashcards
Objective Data
Objective Data
Signup and view all the flashcards
Client Isolation
Client Isolation
Signup and view all the flashcards
Hospital Sleep Promotion
Hospital Sleep Promotion
Signup and view all the flashcards
Bedtime Rituals
Bedtime Rituals
Signup and view all the flashcards
Empathetic Response to Client Concerns
Empathetic Response to Client Concerns
Signup and view all the flashcards
Evaluating OSA Improvement
Evaluating OSA Improvement
Signup and view all the flashcards
Addressing Teenager's Excessive Sleep
Addressing Teenager's Excessive Sleep
Signup and view all the flashcards
Accurate Information about Adolescent Sleep
Accurate Information about Adolescent Sleep
Signup and view all the flashcards
Factors Influencing Pain Perception
Factors Influencing Pain Perception
Signup and view all the flashcards
Assessing Pain Quality
Assessing Pain Quality
Signup and view all the flashcards
Objective Pain Signs
Objective Pain Signs
Signup and view all the flashcards
Responding to Family's Request for Alternative Therapy
Responding to Family's Request for Alternative Therapy
Signup and view all the flashcards
Ketorolac Dosage Calculation
Ketorolac Dosage Calculation
Signup and view all the flashcards
Ventrogluteal Injection Site
Ventrogluteal Injection Site
Signup and view all the flashcards
Locate Ventrogluteal Site
Locate Ventrogluteal Site
Signup and view all the flashcards
IM Injection Technique
IM Injection Technique
Signup and view all the flashcards
PCA (Patient Controlled Analgesia)
PCA (Patient Controlled Analgesia)
Signup and view all the flashcards
PCA Education Timing
PCA Education Timing
Signup and view all the flashcards
Muscle Relaxation Before Injection
Muscle Relaxation Before Injection
Signup and view all the flashcards
Pressure After IM Injection
Pressure After IM Injection
Signup and view all the flashcards
PCA Pump
PCA Pump
Signup and view all the flashcards
Drug Tolerance
Drug Tolerance
Signup and view all the flashcards
Synergistic Effect
Synergistic Effect
Signup and view all the flashcards
Equianalgesic Effect
Equianalgesic Effect
Signup and view all the flashcards
Opioid-induced Constipation
Opioid-induced Constipation
Signup and view all the flashcards
Drug-seeking Behavior
Drug-seeking Behavior
Signup and view all the flashcards
Confidentiality
Confidentiality
Signup and view all the flashcards
Veracity
Veracity
Signup and view all the flashcards
Study Notes
Study Guide Exam 5
-
Choking Assessment: Immediately after witnessing a client choking while eating, assess the client's ability to swallow liquids. Auscultate the lungs for adventitious breath sounds, and assess level of consciousness.
-
Next Course of Action: Report assessment findings to the healthcare provider. Elevate the client's head of bed to 45 degrees and instruct the spouse to maintain that position.
-
Advance Directives: Determine if the client has a Living Will and a durable power of attorney for healthcare (DPAHC). Explain the Patient Self-Determination Act (PSDA).
-
Client Comfort: Document that the client is aware of the Patient Self-Determination Act after ensuring the client and their spouse are settled; and do not require further intervention.
-
Spouse Concerns: Report to the charge nurse if the spouse seems to be in denial about the seriousness of the client's condition, or expresses desires for euthanasia.
-
Nursing Response: "How was she positioned when you fed her?" and "Saliva entering the lungs can also cause pneumonia. You did not have a way of knowing she was aspirating."
-
Client Mouth Care: Offer ice chips every hour, and provide mouth care daily with oral swabs.
-
Interventions: Encourage deep breathing, and suction oral secretions from the mouth and throat if needed.
-
Grief Stages: According to the Kubler-Ross Model, denial is a stage of grief.
-
Grief Response: The best response from the nurse is to ask patient about their experience, and allow them to express their feelings " honestly.
-
Medication Route Considerations: Different routes for medication administration have different benefits, including speed of absorption, and the reduced risk of aspiration; and the need to avoid drug addiction.
-
Medication Calculation: Calculate the proper amount of medication to administer based on the order and the strength of the available medication.
-
Spiritual Support: Provide feedback and encourage the spouse when they ask for help concerning their faith and support during this difficult time.
-
Sleep Disorder Intervention: Interventions should include observing for sleep disorders and documenting the observed symptoms. Include potential questions or concerns to the client.
-
Communication with Client: Encourage visitors to communicate with the client, suggesting the use of touch, while upholding privacy and respect.
-
Symptoms and Potential Treatment: Identify potential symptoms (hyperreflexia in legs and arms, mottling of hands and feet, increased urinary output, head turned away from light), and outline correct nursing interventions (provide support for emotional needs).
-
Advance Directives Explanation: Explain that a living will is often used by patients, because they may not be able to make their wishes known during an incapacitating event.
-
Client's Pain Management: Determine the etiology of the client's pain and anxiety, by using specific questioning, for example ask "On a scale of 0 to 10, how would you rate your pain?." Use observation to identify and document factors like frequent grimacing.
-
Pain Relief and Management: Provide instructions for managing pain (cold packs for swelling, and the usage of heating pads). Indicate that pain relief is not the same as curing the cause.
-
Medication Administration: Properly administer prescribed medicines, according to medication protocols, and safety guidelines; and make appropriate documentation, where needed.
-
Post-Operative Care: Delegate tasks to unlicensed assistive personnel (UAP), which are age appropriate, and related to the client's health condition.
-
Ethics: Nurse must consider ethical principles during situations involving patient care in order to provide the best quality possible experience. Confidentiality is essential when protecting patient privacy.
-
Pain Medication Considerations: Discuss the rationale behind combining medications, and explain to the client that taking combinations of pain relievers can assist with pain management. Also, point out that tolerance and addiction can occur.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
This quiz covers essential nursing concepts related to choking assessment, advance directives, and client comfort. It emphasizes the evaluation of client situations and communication with healthcare providers for appropriate actions. Additionally, it highlights the importance of understanding and explaining the Patient Self-Determination Act to clients and their families.
