The nurse is preparing to give an in-service to peers regarding ...

[moongchi]

The nurse is preparing to give an in-service to peers regarding situations that can affect the comfort level of the clients on the unit.
 
  The nurse reminds the staff that which of the following can negatively impact the client's sense of well-being? 1. Insufficient energy
   2. Restful sleep
   3. Physical well-being
   4. Appropriate diversion

Question 2

The home health nurse is visiting a client who is 2 weeks postoperative from abdominal surgery. The nurse assesses the client and finds that the client has lost 10 pounds, is continuing to experience pain, and is not eating.
 
  The nurse's next action is to: 1. Revise the goals in the plan of care.
   2. Contact meals on wheels.
   3. Refer the client to social services.
   4. Examine the interventions for pain relief.

[Kedrick2014]

Answer to Question 1

1. Insufficient energy

Rationale:
When there is insufficient energy, the client is unable to focus on healing and lacks the ability to cope in stressful situations. Restful sleep, physical well-being, and appropriate diversion all promote a sense of comfort for the client.

Answer to Question 2

4. Examine the interventions for pain relief.

Rationale:
The nurse evaluates that pain goals have not been met and examines pain relief interventions to determine the problem. The goal of pain management is pain relief and that goal would not change; what might change is the interventions to meet the goal. Contacting meals on wheels may not be appropriate if the problem is pain relief. Pain relief is a medical issue that is addressed by the nurse and physician, not social services.

[moongchi]

Excellent

[shailee]

Great answer, keep it coming