The nurse admits a client in the afternoon who has significant ...

[debasdf]

The nurse admits a client in the afternoon who has significant body odor. What is the initial action by the nurse?
 
  1. Bathe the client.
  2. Delegate the bath to the unlicensed assistive personnel.
  3. Provide hygiene supplies and instruct the client to bathe.
  4. Assess the client, including culture, history, and personal hygiene preferences.

Question 2

The nurse is caring for a postoperative client who is receiving morphine every two hours for pain. The client has a respiratory rate of 18 with normal depth of respirations.
 
  The nurse assesses that the client is frequently drowsy but arousable, and drifts off to sleep during conversation. The client is due for the next dose of morphine. The nurse plans to do which of the following for this client? 1. Give the next dose of morphine.
  2. Give the client half of the dose of morphine.
  3. Withhold the medication.
  4. Notify the RN of the client's status.

[kjohnson]

Answer to Question 1

4
Rationale: The initial action of the nurse should be to learn more about the client, including culture, history, and personal preference. It is possible that the client's physical condition might exclude the option of an immediate bath. The client is not an inanimate object to be told what to do or bathed without choice or input.

Answer to Question 2

4
Rationale: The client has a sedation score of three, and should have the dose of morphine decreased. The nurse will notify the RN, who will assess the client further and contact the physician for a dose reduction. Giving the next dose could cause respiratory depression. Only the physician can reduce the dose, unless the dose is ordered in conjunction with the sedation scale by the physician. The nurse would not withhold the medication without notifying the RN of the client's status.

[debasdf]

Both answers were spot on, thank you once again

[kjohnson]

Great! Please up vote