Nokea
A nurse is providing nonpharmacological interventions for a client who is experiencing pain. Which of the following actions should the nurse take?
- A. Play music in the client's room.
- B. Keep the client's room well lit.
- C. Ensure that the client's room is kept at a cool temperature.
- D. Encourage the client to abstain from distracting activities.
Correct Answer: A
Rationale: Music is a nonpharmacological method to distract from pain and promote relaxation.
You may also like to solve these questions
A nurse at a long-term care facility is reinforcing teaching with a newly licensed nurse about the proper use of restraints. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
- A. Observe the client's skin integrity every 2 hr.
- B. Use a square knot to secure the client's restraint to the bed.
- C. Ensure that 2 fingers can be placed between the restraint and the client.
- D. Tie the ends of the restraint to the client's bed rail.
- E. Pad bony prominences before applying a restraint.
Correct Answer: A,C,E
Rationale: A: Frequent skin checks prevent injury. C: Two fingers ensure proper fit. E: Padding protects bony areas.
A nurse is preparing to instill an otic medication for an adult client. Which of the following actions should the nurse take?
- A. Cleanse the client's outer ear with isopropyl alcohol to remove wax.
- B. Pull the client's pinna downward and back.
- C. Hold the ear dropper 1 cm (0.5 in) from the client's ear.
- D. Request the client remain supine for 10 min following administration.
Correct Answer: C
Rationale: Holding the dropper 1 cm above prevents contamination and ensures proper delivery.
A nurse is collecting data from a client who is immobile and has a potential deep-vein thrombosis. Which of the following findings should the nurse report to the provider?
- A. Tortuous veins
- B. Clammy skin
- C. Bradycardia
- D. Calf swelling
Correct Answer: D
Rationale: Calf swelling is a classic sign of DVT, requiring urgent reporting.
A nurse is contributing to a community center's in-service program about early detection of breast cancer. Which of the following recommendations should the nurse make for female clients who do not have a family history of breast cancer?
- A. You should receive a breast examination from your provider each year after age 30.
- B. You should start receiving mammograms as early as age 40.
- C. You should receive a breast ultrasound every 3 years after age 50.
- D. You should start performing monthly breast self-examinations at age 35.
Correct Answer: A
Rationale: Annual clinical breast exams are recommended starting at age 30 for early detection.
A nurse is observing an assistive personnel (AP) provide postmortem care for a client prior to visitation by their loved ones. Which of the following actions by the AP requires intervention by the nurse?
- A. Washing the client's face
- B. Gathering the client's personal belongings
- C. Closing the client's eyes
- D. Removing the client's dentures from their mouth
Correct Answer: D
Rationale: Removing dentures distorts facial appearance, requiring intervention.