Question

47. A nurse is performing an ear irrigation for a client. Which of the following actions should the nurse take?

1. Paint the tip of the syringe toward the top of the ear canal
2. Use cool fluid for irrigation
3. Insert the tip of the syringe 2.5 cm (1 in) into the ear canal.
4. Tilt the client's head 45°

48. A home care nurse is planning to use nonpharmacological pain relief measures for an older adult client who has severe chronic back pain. Which of the following guidelines should the nurse use?

1. Distraction changes the client's perception of pain, but does not affect the cause.
2. Use imagery with clients who have difficulty with focus and concentration,
3. Discontinue opioids before trying nonpharmacological methods af pain relief.
4. Pain relief from the use of heat and cold continues for several hours after removal of the stimulus.

49. A nurse is caring for a client who is receiving total parenteral nutrition through a central line. The current bag is nearly empty, and a new bag is unavailable from the pharmacy. Which of the following actions should the nurse take?

1. Switch the infusion to a 10% dextrose solution.
2. Start an infusion of 0,45% sodium chloride solution.
3. Decrease the rate of infusion to last until the new bag is available.
4. Discontinue the infusion and flush the line,

50. A nurse is providing discharge teaching to a client who has heart failure and instructs him to limit sodium intake to 2 g per day. Which of the following statements by the client indicates an understanding of the teaching?

1. "I can have mayonnaise on my sandwiches."
2. "I can have a frozen fruit juice bar for dessert."
3. "I can season my foods with garlic and onion salts."
4. "I can drink vegetable juice with a meal."

Answer 1

1. A nurse is performing an ear irrigation for a client. Which of the following actions should the nurse take?

1. Paint the tip of the syringe toward the top of the ear canal
2. Use cool fluid for irrigation
3. Insert the tip of the syringe 2.5 cm (1 in) into the ear canal.
4. Tilt the client's head 45°

Siatee should take all steps except using cold fluid for irrigation which can lead to vagal stimulation-bradycardia and sometimes death , rest all 3 options are to be done.

1. A home care nurse is planning to use nonpharmacological pain relief measures for an older adult client who has severe chronic back pain. Which of the following guidelines should the nurse use?

Ans - Distraction changes the client's perception of pain, but does not affect the cause.

1. A nurse is caring for a client who is receiving total parenteral nutrition through a central line. The current bag is nearly empty, and a new bag is unavailable from the pharmacy. Which of the following actions should the nurse take?

Ans - Discontinue the infusion and flush the line, and then make anothe bag available and transfuse it.

1. A nurse is providing discharge teaching to a client who has heart failure and instructs him to limit sodium intake to 2 g per day. Which of the following statements by the client indicates an understanding of the teaching?

Ans - "I can drink vegetable juice with a meal."