Funds | Exam 4 Review 2

A nurse is caring for a client who is at the end of life. The client's respirations are irregular and tachypneic. He has a low-grade fever, visual hallucinations, and nonverbal indicators of pain. Which 3 actions should the nurse take? SATA

• Turn the patient on his side.

• Tell the client there is nobody else in the room.

• Provide deep nasotracheal suctioning for the client.

• Give a opioid narcotic.

• Place a fan to blow lightly toward the client.

A male patient states, "I'm such a loser. I only had that job for a month." Which outcome criteria will the nurse add to the patient's care plan?

• The patient will verbalize two life areas in which he functions well.

• The patient will find new employment before the next clinic visit.

• The patient will confront a former boss about previous work problems.

• The patient will identify two reasons why he is considered a bad employee.

A nurse is assessing a client who has impaired mobility. The nurse should monitor the client for a pressure injury due to which of the following factors?  

• • Decreased circulation

• Increased collagen

• • Increased muscle mass

• • Decreased serum calcium

A nurse is caring for a client who is at risk for a pressure injury. Which of the following actions should the nurse take?

• • Massage the client’s bony prominences.

• Provide the client with a high-calorie diet.

• • Reposition the client every 4 hr.

• Elevate the head of the client’s bed 45°

A nurse is teaching a class about the use of pain medications for clients who have an opioid addiction. Which of the following medications are a nonopioid analgesic?(Select all that apply.)

• • Codeine

• Acetaminophen

• Ibuprofen

• Fentanyl

• • Oxycodone

.A nurse is teaching a class about sleep disorders. The nurse should include that which of the following conditions can cause obstructive sleep apnea (OSA)?

• Enlarged tonsils

• Heart failure

• Brainstem injury

• Opioid overdose

A nurse is teaching a client about the sleep-wake cycle. The nurse should include that which of the following factors can interfere with the sleep-wake cycle? (Select all that apply.)

• • Drinking caffeinated beverages in the evening

• • Emotional stress

• • A bright light

• • A 20 min nap during the day

• • A regular bedtime schedule