The nurse is teaching a group of clients with inflammatory bowel disease (IBD) some guidelines for eating to manage their condition. Which statement by the nurse should be included in the teaching?

A client with dementia early stage is using the faces picture scale to indicate pain level. See the scale below. Which instruction by the nurse about use of the scale is correct? Faces scale.png

An older resident is complaining of being constipated. Which action should the nurse take first when caring for this patient?

Client with type 2 diabetes for 12 years tells the nurse, “My vision has been a little blurry lately, but I don’t have time for eye appointments.”Which nursing response best focuses on reducing the risk of diabetic retinopathy progression?

A client is admitted to the hospital with limited mobility following a stroke. The client is frequently repositioned while in bed and is receiving physiotherapy to overcome right-sided lower extremity weakness. The nurse observes that the client often slides down in the bed, requiring frequent repositioning, and the absorbent pad under the client is wet with urine between changes. The client is being tube-fed and tolerating well. Based on this scenario, what factors does the nurse identify as putting the client at risk for skin breakdown? Select all that apply.

An elderly client admitted for dizziness often asks the nurse to repeat herself, appears frustrated and looks away during conversation, and often answers questions inappropriately. Which actions, by the nurse, would best improve communication?Select all that apply.

Which observation made by the nurse suggests that a client is having difficulty swallowing? Choose the best response.

The nurse administers a narcotic for pain to a terminal client with end-stage pulmonary disease and dementia. One hour post analgesic the client exhibits facial grimacing and restlessness. Pulse rate is 90 and respirations are quiet at 24/minute. Pulse oximeter is 98%. How should the nurse interpret these assessment findings?

A nurse is caring for a Mexican client with chronic pain who states, “I’m going to see a curandero because someone gave me the evil eye.”(Note: A curandero is a traditional folk healer in Mexican culture who treats physical, emotional, and spiritual ailments using herbs, rituals, and spiritual guidance.) What is nurse’s best response?

A client with pancreatitis is ordered an infusion of Ringer Lactate 1.5 L over 8 hours. There no IV pumps available so the nurse will need to infuse manually. The drop factor of the tubing set is 15gtts/mL.  How many gtts/minute should the nurse set the infusion to deliver? Round the answer to the nearest whole number. Enter numeric value only in the blank. [BLANK-1]