Author Question: The nurse is teaching a client never to insert objects such as cotton swabs, toothpicks, or matches ... (Read 39 times)

Frost2351 · **on:** Jul 17, 2018

The nurse is teaching a client never to insert objects such as cotton swabs, toothpicks, or matches into the ears to clean them.

Based on this information, what are the rationales for not placing these objects in the ear that the nurse needs to review with the client? 1 . Injure the ear canal
2 . Cotton swab frequently becomes lodged in ear
3 . Puncture the eardrum
4 . Push earwax further into the ear canal
A) 1, 2, 3
B) 1, 2, 4
C) 1, 3, 4
D) 2, 3, 4

Question 2

A person facing an illness or surgery often feels anxious or nervous. The anxiety may cause physical and emotional stress that can aggravate the client's health problem.

How would the nurse document a client who is having increasing uneasiness and apprehension about pending surgery? A) +1 anxiety
B) +2 anxiety
C) +3 anxiety
D) Panic

chereeb · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

C
Feedback:
Warn clients never to insert objects, such as cotton swabs (Q-Tips), toothpicks, or matches into their ears to clean them. These objects can injure the ear canal, puncture the eardrum, or push earwax further into the ear canal, making removal more difficult.

Answer to Question 2

A
Feedback:
The client's anxiety level may be estimated as follows:
Calm = Not anxious
+1 anxiety = Increasing uneasiness and apprehension
+2 anxiety = Increasing uneasiness, apprehension, dread
+3 anxiety = Increasing apprehension, dread, paranoia
Panic = Symptoms may include a feeling of choking, difficulty breathing, inability to sit still, chest tightness or pain, trembling, sweating, increased pulse rate and blood pressure, headache.