RN Basic Care and Comfort

RN Basic Care and Comfort Related

Review RN Basic Care and Comfort related questions and content

The nurse is caring for a client with sternal wires following a coronary artery bypass graft (CABG). The client complains of severe pain when coughing and deep breathing. What nonpharmacological measures can the nurse take to increase client comfort? Select all that apply.

  • A. apply hot packs to the sternum
  • B. give morphine PRN for pain before client coughs
  • C. suggest using audio books or relaxing music as a distraction
  • D. teach the client how to use a pillow to splint the chest when coughing
  • E. encourage the client to engage in prayer, meditation, or other activities
  • F. properly position the head of the bed to minimize pressure on the sternum
Correct Answer: C,D,E,F

Rationale: Splinting with a pillow (D), distraction with music/audiobooks (C), meditation/prayer (E), and proper bed positioning (F) reduce pain nonpharmacologically. Hot packs (A) risk burns, and morphine (B) is pharmacological.

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A client has orders for placing a nasogastric tube. In which position should the nurse place the client for insertion?

  • A. low Fowler's
  • B. high Fowler's
  • C. reverse Trendelenburg's
  • D. on the side opposite of the nare used for insertion
Correct Answer: B

Rationale: High Fowler's position (upright at 60-90 degrees) facilitates nasogastric tube insertion by aligning the esophagus and reducing the risk of aspiration.

The nurse is discharging a client who was prescribed prednisone. The nurse tells the client that one of the side effects may be impaired sleep. The client says, 'I already have a hard time sleeping. What can I do to help with that?' Which recommendations should the nurse make? Select all that apply.

  • A. avoid alcohol late in the evening
  • B. keep the bedroom dark and quiet
  • C. maintain the same consistent sleep schedule
  • D. eat a large, heavy meal at dinner to help promote sleep
  • E. read or do another quiet, noncomputer activity before bed
  • F. do a vigorous exercise routine after work to help him become tired
Correct Answer: A,B,C,E

Rationale: Avoiding alcohol (A), a dark/quiet bedroom (B), consistent sleep schedule (C), and quiet activities (E) promote sleep. Heavy meals (D) can disrupt sleep, and vigorous exercise late (F) may be stimulating.

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