106. A client is admitted to the emergency department with deep partial-thickness burns of the arms and chest sustained in a house fire. The nurse notes that the client is very restless and anxious. Which action should t
...
106. A client is admitted to the emergency department with deep partial-thickness burns of the arms and chest sustained in a house fire. The nurse notes that the client is very restless and anxious. Which action should the nurse take FIRST?
1. Administer morphine 5 mg IV
2. Ask the patient to verbalize what is bothering her.
3. Teach the patient diaphragmatic and pursed-lip breathing.
4. Listen to breath sounds
107. The nurse talks with an upset patient on the psychiatric unit. The patient’s anger appears to be escalating. Which action should the nurse take?
1. Hold the patient’s arms at his sides.
2. Distract the patient by suggesting he go to his room
3. Tell the patient that aggressive behavior will not be allowed.
4. Encourage the patient to “get it all out.”
108. The nurse on a unit of the state hospital plans psychoeducational classes for chronic schizophrenics. Most of the patients have been hospitalized for 20 years. Which classes should be planned FIRST by the nurse?
1. Vocational training, community resources, reading skills.
2. Hygiene, communication skills, nutrition.
3. Interviewing skills, money management, medication compliance.
4. Token economy, educational games, role-playing.
109. The postpartum nurse cares for a woman who is breastfeeding her first child. The client complains of strong afterbirth pains while she nurses. Which statement, if made by the client to the nurse, indicates that the client understands the cause of this discomfort? 1. “These pains mean that I still have placenta inside my uterus.”
2. “These pains show that my let-down reflex is working.”
3. “These pains would go away if I walked more.”
4. “These pains occur because this is my first baby.”
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