Answer to Question 1
B
Repositioning the client offers an opportunity to provide a simple, yet often effective, comfort
measure. Another tip is to ensure the patency of the indwelling catheter if the client has one.
Blocked urine flow can create pain associated with a distended bladder. Options A and D: Seeking
additional or adjuvant medication an hour after analgesic administration is not advised. Option C:
Oral intake may not be feasible because many clients with severe dementia have difficulty
swallowing.
Answer to Question 2
D
The client needs understanding and support that her feelings are normal. Although feelings of
depression generally decline over the period of a year after the death of a loved one, the decline is
not linear. Loneliness and aimlessness are most pronounced 6 to 9 months after the death. The client
should be given this and other information about phenomena experienced during bereavement if she
has not already received it. If it has been previously given, the information should be reinforced and
the client given understanding and support. The other options are not clearly indicated.
The nurse needs to note the source of the patient health history
Opioids for Pain Management
Building a Client Base Cont.
Client files are kept in alphabetical order in locked file cabinets.
Physiology of pain perception
Testing patellar reflex, client in a sitting position