A client is demonstrating a positive Chvosteks sign what action should the nurse take

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BOOK TITLE: Comprehensive Approach to NCLEX-RN, HAAD and DHA Examinations

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Author

ISBN

9789386150660

DOI

10.5005/jp/books/13060_19

Edition

1/e

Publishing Year

2017

Pages

67

Author Affiliations

Chapter keywords

Cardiovascular system, disaster nursing, endocrine system, gastrointestinal system, hematological system, immune system, maternity nursing, mechanical ventilation, musculoskeletal system, neurological system, nursing care delivery, nursing innovation, nursing process, oncology, pediatric nursing, psychiatric nursing, respiratory system, vascular disorder

NMC CBT Exam Preparation By KenyanNurse 1

Adult Nursing - Registered Nurse (RN)

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* 74. A patient is agitated and is unable to settle. She is also finding it difficult to sleep, reporting that she is in pain. What would you do at this point?

Ask her to score her pain, describe its intensity, duration, the site, any relieving measures and what makes it worse, looking for non verbal clues, so you can determine the appropriate method of pain management.

Give her some sedatives so she goes to sleep.

Calculate a pain score, suggest that she takes deep breaths, reposition her pillows, return in 5 minutes to gain a comparative pain score.

Give her any analgesia she is due. If she hasn’t any, contact the doctor to get some prescribed. Also give her a warm milky drink and reposition her pillows. Document your action.

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What action by the nurse demonstrates culturally sensitive care quizlet?

Asks permission before touching a client. Physical contact, such as touching the head, in some cultures is a sign of respect, whereas in others, it is strictly forbidden. So asking permission before touching a client demonstrates culturally sensitive care.

How should the nurse handle linens that are soiled with incontinent feces?

Any linen that falls to the floor is considered contaminated and may not be used. Linen contaminated with blood or other body fluids, secretions or excretions including urine or feces, must be placed in the plastic bag that is leakproof, prevent soak through and labelled as 'Potentially Infectious'.

Which client care activity requires the nurse to wear Barrier gloves as required by the protocol for standard precautions?

Wear gloves when touching blood, body fluids, non-intact skin, mucous membranes, and contaminated items. Gloves must always be worn during activities involving vascular access, such as performing phlebotomies.

What activity should the nurse use in the evaluation phase of the nursing process?

What activity should the nurse use in the evaluation phase of the nursing process? Ask a client to evaluate the nursing care provided.