Exam 3: Comfort

A preschool-age client's IV has infiltrated and must be restarted immediately for medication administration.There is no time for placing local anesthetic cream on the skin to decrease the pain associated with the procedure.Which complementary therapy would be most helpful when placing the IV for this pediatric client?

An adolescent client with terminal cancer tells the nurse that she does not want any more treatment,even though her parents are planning for her to participate in a study trial that involves aggressive chemotherapy.Which action by the nurse is the most appropriate?

The nurse is counseling an adult client with fibromyalgia.What are some elements of counseling that can help this client develop effective coping skills? Select all that apply.

Which statement best exemplifies the etiology of fibromyalgia?

The nurse provides an in-service to peers regarding situations that can affect the comfort level of the clients on the unit.Which client statement indicates that the client's sense of well-being is negatively impacted?

The nurse is preparing to assess comfort for several clients.If the nurse,in addition to assessing the client's physical experience of pain,assesses whether the client has a present and reliable personal support network,then the nurse is assessing which context of holistic human experience during this process?

A participant in a seminar given by a nurse asks for information about lifestyle situations that might contribute to chronic fatigue.Which examples might the nurse identify in response to this request? Select all that apply.

Which of the following statements describes all pain?

During an assessment,an adolescent reports: "I get up at 6 a.m. ,I attend early-morning band classes three times each week,I play sports for 2 hours each day after school,and homework takes me 3 hours each night.I always feel tired." Based on these data,which question will the nurse ask while continuing the client's history?

What word best describes the pain a client experiences at the end of life?

The nurse is caring for a client who is experiencing acute chest pain that is rated as a 9 on a 0 to 10 pain scale.Based on this data,which medication does the nurse expect to administer?

The nurse is discussing goals to relieve pain and fatigue with a client newly diagnosed with fibromyalgia.Which goal statement would be realistic for this client to achieve within 30 days?

Sleep disorders mainly do what with respect to the activities of daily living?

An adult client is diagnosed with fibromyalgia.The client asks the nurse whether a recent of infection with the Coxsackie B virus could have caused fibromyalgia.Which response by the nurse is the most appropriate?

A client reports feeling tired and not refreshed after sleeping.The client also tells the nurse that family members have been making comments about the client's loud snoring at night.What should the nurse suspect as being the cause of this client's fatigue?

Which of the following is most characteristic of the clinical manifestations of sleep apnea?

A man brings his wife to the clinic and states,"I want you to fix my wife and tell her that there is nothing wrong with her." The client has symptoms of pain,sleep disorders,and stiffness.Which would be most appropriate for the nurse to include in a plan of care for this family?

The nurse is reviewing the admission orders for an older adult client who is being admitted for a hysterectomy.The client,who has been diagnosed as having uterine cancer,has chronic pain caused by arthritis.The healthcare provider has prescribed long-acting oral narcotic medication to be administered every 4 hours.What should the nurse do when providing the medication to the client?

The nurse is caring for a client who has recently been diagnosed with fibromyalgia.The client has complained of pain,fatigue,and sleep disruptions.Which medication should the nurse anticipate will most likely be prescribed as part of the client's treatment plan?

An older adult client is talking with the nurse about sleep problems.Which fact regarding sleep should the nurse teach this client?