Exam 3: Comfort

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?

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?

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?

A client with clinical depression asks the nurse for suggestions on how to improve the quality of sleep. The client often drinks a glass of wine before bedtime to help sleep. The client falls asleep quickly but then wakes up an hour or so later and often feels anxious. A period of wakefulness follows, often lasting several hours. Which of the following planning goals would be least appropriate for this client?

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

If nutrients and hydration are provided artificially for a client at the end of life because of the client's diminished muscle control, then what is another therapy that is likely to accompany this therapy?

The nurse is taking care of a client with terminal lung cancer who is showing signs of imminent death. What change should the nurse most expect the client to exhibit first?

A client who has been undergoing treatment for chronic back pain has been considering various over-the-counter nonopioids to manage the pain. The nurse has assessed the client's needs and discussed the use of available methods with the client. Which client statement indicates the need for further instruction?

An adult client diagnosed with sleep apnea has been prescribed a continuous positive airway pressure (CPAP)machine as treatment. The nurse is instructing the client on how to use the machine. Which instruction least relates to ensuring the patient's comfort with the device?

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?

Which client is exhibiting hypersomnia?

Which of the following triggers pain?

The parents of a child with terminal cancer ask the nurse that the child not be told that he will not recover. The nurse anticipates that the child might ask the nurse if he is dying. What would be most appropriate for the nurse to do?

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?

A client has been prescribed iron supplements to treat fatigue and a hemoglobin level of 9. What additional information should the nurse suggest to the client to help reduce feelings of fatigue associated with a low red blood cell count? Select all that apply.

A resident in an assisted-living facility is restless most nights and sits in the lounge area reading. When questioned, the resident reports suffering from insomnia. What should the nurse expect as a likely outcome if the resident continues with this pattern of sleep?