others

Image

Select all that apply

0

12 questions

  • 1. Open Ended
    30 seconds
    1 pt
    0The nurse notes that a clioent is quite suspicious during an assessment interview and believes that her family is under investigation by the CIA. What would the appropriate nursing interventions be with this client. Select all that apply: 1: Use active listening skills to seek information from the client. 2: Encourage the client to describe the problem as she sees it. 3. Ask the client to tell you exactly what she thinks is happenning. 4. Tell the client that she is delusional and you can help her. 5. Explain to the client that most people are not investigated by the CIA. 6. Reassure the client that you are not with the CIA.
  • 2. Open Ended
    30 seconds
    1 pt
    Which nursing interventions will assist in reducing pressure points that may lead to pressure ulcers? Check all that apply: 1. Position the client directly on the trochanter when side lying. 2. Avoid use of donut type devices. 3. Massage bony prominences. 4. Elevate the HOB no more than 30 degrees when possible. 5. When the client is side lying, use the 30 degree lateral inclined position. 6. Avoid uninterrupted sitting in an chair or wheelchair.
  • 3. Open Ended
    30 seconds
    1 pt
    The nurse is evaluating a client recently diagnosed with primary open angle glaucoma (POAG). What will an important nursing action be? Select all that apply: 1. Review meds the client is currently on to determine whether any of them cause an increased intraocular pressure as a side effect. 2. Determine whether the client has any sudden loss of vision accompanied by pain. 3. Discuss with the client the importance of controlling blood pressure to decrease the potential loss of peripheral vision. 4. Instruct the client to take analgesics as soon as any discomfort occurs in the eye and to notify clinic if pain is not relieved. 5. Have the client demonstrate the use of eye drops. 6. Assess the client for chronic diseases such as diabetes.
  • Answer choices
    Tags
    Answer choices
    Tags