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Please type at least two Nursing Diagnoses statements related to Sleep and Pain and provide two interventions for each. (Remember there are approved lists....NANDA.
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- Develop a nursing diagnosis statement using approved NANDA-I language about a patient who has non-verbal communication issues. (**NOTICE NON-VERBAL I AM NOT TALKING ABOUT ORAL COMMUNICATION**). Remember to included the "as evidenced by" and "related to" parts and also make sure it is nursing diagnosis not a medical diagnosis.1) The nurse has administered an opioid analgesic to a client. Which interventions should the nurse implement? Select all that applyA. Discuss with the physician starting the client on a stool softener.B. Teach the client about rating the pain on a numeric pain scale.C. Inform the client to rise quickly from a supine position.D. Tell the client to call for assistance when getting out of bed. 2). Mrs. Lee has been taking ibuprofen for the last 2 months. She has noticed both her knees are occasionally red and warm when she touches them. She has observed that besides her knee pain, the joints in her hands have been red with some swelling. The physician diagnoses Mrs. Lee with rheumatoid arthritis and gout. He starts her on allopurinol 100mg PO every day and celecoxib 100mg PO BID for pain. In teaching Mrs. Lee about her new medication regimen: You describe to Mrs. Lee how allopurinol will help in the management of her joint pain. What is your best explanation?A. “Allopurinol reduces the…The nurse is practicing the therapeutic communication technique of broad opening. Which of thefollowing statements by the nurse best demonstrates a correct understanding of this technique?a. “How do you feel when you are arguing with your daughter?”b. “What are you thinking about?”c. “Are you planning on hurting yourself?”d. “You are biting your fingernails. Is something bothering you?”
- You start your shift today and the in-charge nurse lets you know that you will be working short-staffed. The following clients have now been assigned to your workload. In what order will you care for these clients? Provide a rationale (reason) for each. Client A: suffered a stroke with right-sided hemiplegia, this client also has aphasia. She prefers to get up quite early. She is a 2pa but can do some care with minimal assistance. Client B: suffers from moderate dementia. He is a fall risk and needs regular supervision as he does not stay when seated. He is completely ambulatory but needs cueing and assistance for care. Client C: is a mechanical lift with significant contractures. He requires full care including needing to be fed. He sits in a reclining wheelchair for the whole day and requires regular toileting due to bowel and bladder incontinence. Client D: This client has MS. She requires the use of a mechanical lift. She is in full care. Once in her power wheelchair she leaves the…A nurse is perceiving and experiencing high stress levels at work on a consistent basis due to inadequate staffing and high client acuity levels. The ongoing physiological stress response from her endocrine system places her at increased risk for which of the following disorders? (Select all that apply.) .. .. Eczema Influenza Rheumatoid arthritis Cancer Bfonchial asthmaWhen developing the plan of care for a patient with chronic pain, the nurse plans interventions based on the knowledge that chronic pain is most effectively relieved when analgesics are administered in what matter? a. On a PRN (as needed) basis b. Conservatively c. Around the clock (ATC) d. Intramuscularly
- 1). Due to the client’s diagnosis of low back pain, cyclobenzaprine is prescribed. Which instructionsshould the nurse teach the client? Select all that applyA. Take the medication just before leaving home for work each day.B. Drink a full glass of water with each dose of medication.C. The medication can cause drowsiness that will make driving unsafe.D. Divide the dose of medication between early morning and bedtime.E. Encourage the client to change positions slowly. 2).The nurse working in the postanesthesia care unit (PACU) recovering a male client after anexploratory laparotomy administers the prescribed hydromorphone intravenously. Five minuteslater the nurse assess the client’s respirations at 8 breaths per minute. Which interventionshould the nurse implement first?A. Ask the anesthesiologist to come and assess the client.B. Administer naloxone intravenously.C. Re-assess the client’s respiratory status in 20 minutes.D. Use an ambu bag and ventilate the client. 3).An adolescent…Discuss the nursing process as it relates to the nursing care of a patient receiving any central nervous system depressants and/or muscle relaxantThe nurse is receiving an older adult client from the PACU. Part of the report had been passed on from the preoperative assessment where it was noted that the client has been agitated in the past following opioid administration. What principle should guide the nurse's management of the client's pain? a. The elderly may require lower doses of medication and are easily confused with new medications. b. The elderly may have altered absorption and metabolism, which prohibits the use of opioids. c. The elderly may be confused following surgery, which is an age-related phenomenon unrelated to the medication. d. The elderly may require a higher initial dose of pain medication followed by a tapered dose.
- A client is hospitalized for treatment of myasthenic crisis and is concerned about what may have caused this illness. The client's states I just had a little case of the sniffles and a bit of a sore throat and warm! Suddenly I couldn't get out of the bed or do anything. Which response is best for the nurse to provide this clientA client has just been admitted to the healthcare facility in an unconscious state and is accompanied by relatives. a. What is the priority nursing action in this situation? b. What step(s) of the nursing process should the nurse perform at this stage?Mr. James Thompson, a 65-year-old male, presents with insomnia complaints. He has a known cognitive impairment, with a Mini-Mental State Examination (MMSE) score of 12. He reports difficulty falling asleep and staying asleep, often wandering around at night. He is currently not taking any medications. Which medication option should be selected to manage his insomnia? What are the possible adverse effects of the selected medication? Please answer at your own easy words. Answer should be to the point. Don't use AI answering this question!