Answer to Question 1
C
Feedback:
The nurse should encourage the client to perform chair exercises during the day since this promotes sleep. Sleeping 4 to 5 hours during the day would interfere with nighttime sleep. The older adult requires about 7 to 9 hours of sleep within a 24-hour period. Engaging the client in watching television before sleep may interfere with sleep because it is stimulating in nature. Exercise that is performed too close to bedtime may similarly stimulate the client and interfere with sleep.
Answer to Question 2
D
Feedback:
The nurse uses oral suctioning to remove liquid secretions from the mouth of a client with chest congestion. Nurses perform oral suctioning, removal of secretions from the mouth, with a suctioning device called a Yankeur-tip or tonsil-tip catheter. Nasopharyngeal suctioning is the removal of secretions from the throat through a nasally inserted catheter. Nasotracheal suctioning is the removal of secretions from the upper portion of the lower airway through a nasally inserted catheter. Oropharyngeal suctioning is the removal of secretions from the throat through an orally inserted catheter.
Client position when assessing jugular vein distention.
Swanson’s Theory of Caring
Intervention Model-Response to Client Misconduct
Use face cradle covers to prevent the client’s skin from touching the face cradle upholstery.
Testing client’s ability to identify dull sensation
A patient is talking to the nurse about her husband’s abuse and attempt to strangle her. She ...