A client is experiencing pain after leg surgery but cannot yet ...

[littleanan]

A client is experiencing pain after leg surgery but cannot yet have more pain medication. What comfort interventions can the nurse provide? (Select all that apply.)
 
  a. Apply stimulation to the contralateral leg.
  b. Assess the client's willingness to try meditation.
  c. Elevate the client's operative leg and apply ice.
  d. Reduce the noise level in the client's environment.
  e. Turn the TV on loudly to distract the client.

Question 2

A registered nurse (RN) is watching a nursing student change a dressing and perform care around a Penrose drain. What action by the student warrants intervention by the RN?
 
  a. Cleaning around the drain per agency protocol
  b. Placing a new sterile gauze under the drain
  c. Securing the drain's safety pin to the sheets
  d. Using sterile technique to empty the drain

[alexisweber49]

Answer to Question 1

ANS: A, B, C, D
There are many nonpharmacologic comfort measures for pain, including applying stimulation to the opposite leg, providing opportunities for meditation, elevation of the leg, applying ice, and reducing noxious stimuli in the environment. Participating in diversional activities is another approach, but simply turning the TV on loudly does not provide a good diversion.

Answer to Question 2

ANS: C
The safety pin that prevents the drain from slipping back into the client's body should be pinned to the client's gown, not the bedding. Pinning it to the sheets will cause it to pull out when the client turns. The other actions are appropriate.

[littleanan]

Thanks for the timely response, appreciate it

[kthug]

Wow, this really help