The patient is admitted with chronic back pain. The nurse who is ...

[iveyjurea]

The patient is admitted with chronic back pain. The nurse who is caring for this patient should
 
  a. Focus on finding quick remedies for the back pain.
  b. Look at how pain influences the patient's ability to function.
  c. Realize that the patient's only goal is relief of the back pain.
  d. Help the patient realize that there is little hope of relief from chronic pain.

Question 2

The nurse is instructing the client with peripheral vascular disease about daily foot care. Which of the following is included in the nurse's instruction for the client?
 
  a. Soaking the feet for five to 10 minutes each day
  b. Filing the nails into a curve shape
  c. Using commercial corn removers if needed
  d. Thoroughly inspecting the feet daily

Question 3

It is suspected that the patient's oxygenation status is deteriorating. The nurse is aware that which abnormal assessment finding represents the most serious indication of the patient's decreased oxygenation?
 
  a. Poor skin turgor
  b. Clubbing of the nails
  c. Central cyanosis
  d. Pursed-lip breathing

[upturnedfurball]

Answer to Question 1

B
Do not just look at the patient's back pain as a problem to solve with quick remedies, but rather look at how the pain influences the patient's ability to function and achieve goals established in life (not just pain relief). Mobilizing the patient's hope is central to a healing relationship.

Answer to Question 2

D
A client with peripheral vascular disease should thoroughly inspect the feet daily, or ask a family member to check daily.
Clients with peripheral vascular disease should not soak their feet. Soaking increases risk of in-fection because of maceration of the skin.
Nails should be filed straight across and square.
The client with peripheral vascular disease should not cut corns or calluses or use commercial corn removers. The client should consult a podiatrist.

Answer to Question 3

C

Feedback
A Poor skin turgor indicates dehydration. It is not an indication of the patient's decreased oxygenation.
B Clubbing of the nails is found in patients with prolonged oxygen deficiency, endocarditis, and congenital heart defects. It is a change that occurs over time and is not an indication of the patient's current deterioration in oxygenation status.
C Central cyanosis is the most serious finding because it indicates hypoxemia.
D Pursed-lip breathing is used to slow expiratory flow. It is not the most serious indication of a patient's decreased oxygenation.