A nurse is monitoring a client who has been receiving opioid analgesics for pain management. The nurse understands that over-dosing on opioids can lead to sedation, respiratory depression, and coma. Which of the following actions should the nurse take if the client’s respiratory rate is below 8 breaths per minute and shallow, or the client is difficult to arouse?
A nurse is performing an assessment after the application of…
A nurse is performing an assessment after the application of dry heat therapy to the sacral area of the patient. What objective finding should the nurse document?
A Hispanic female patient visits the clinic with complaints…
A Hispanic female patient visits the clinic with complaints of sleep loss and wants sleeping pills. In further talking with the patient, the nurse learns that the patient is also drinking valerian tea. The most appropriate nursing action is to:
Which of the following conditions would be most likely to re…
Which of the following conditions would be most likely to result in high volumes of runoff into stream systems?
A nurse suspects that an older adult’s insomnia may be parti…
A nurse suspects that an older adult’s insomnia may be partially attributable to excessive daytime napping. The nurse has taught the client that the client may not need as much sleep as the client believes. The nurse should know that older adults typically require how much sleep in any given 24-hour period?
A nurse is educating a patient about Traditional Chinese Med…
A nurse is educating a patient about Traditional Chinese Medicine (TCM). Which of the following statements by the patient indicates a need for further teaching?
A patient with diabetes has an open foot wound but reports n…
A patient with diabetes has an open foot wound but reports no pain. How should the nurse document this finding?
The caregiver of a preschool-age child tells the nurse, “I a…
The caregiver of a preschool-age child tells the nurse, “I am afraid my child sleeps too much,” and reports that the child takes a daily 2-hour nap in addition to sleeping 12 hours at night. What is the appropriate nursing response?
A nurse is reinforcing teaching with a client about the use…
A nurse is reinforcing teaching with a client about the use of transcutaneous electrical nerve stimulation (TENS) to manage chronic pain. Which of the following statements by the client indicates the need for further teaching?
A nurse is collecting data from a client who is reporting pa…
A nurse is collecting data from a client who is reporting pain despite taking analgesia. Which of the following actions should the nurse take to determine the intensity of the client’s pain?