What nursing action is most appropriate for helping meet a patient’s physiological needs?

The client is receiving external radiation (teletherapy) to the neck for laryngeal cancer. The nurse instructs the client that the most likely side affect is:

The nurse instructs the post-operative client to participate in turn, cough, and deep breathing exercises. What is the main purpose for these breathing exercises?

A client diagnosed with a major depressive disorder is eating breakfast in the dining room. However, she is not speaking. The most therapeutic nursing intervention in response to this behavior would be:

The nurse is to perform passive range of motion exercises for a patient who is paralyzed. When should the nurse perform passive ROM?

A client with schizophrenia reveals to the nurse that voices have told him he is in danger. The client asks the nurse, "Do you hear the voices?" The nurse's best response would be:

The nurse will perform logrolling to keep the patient's spine in proper alignment. The nurse will:

When providing oral hygiene for patients, what action can nurses take to protect themselves when providing oral hygiene for patients?

A hospice patient has many visitors including family, friends and chaplain. The nurse notices the patient’s son is angry when the patient does not eat. In response to the son’s anger, the nurse should:

Upon auscultation of bowel sounds, the nurse has identified an early sign of an intestinal obstruction which includes:

The patient has had a portion of their large intestine surgically removed resulting in a colostomy. The patient says to the nurse, “My wife says she prefers not to look at the colostomy bag and leaves the room when I am getting dressed and undressed.” What should be the initial action of the nurse?

Which action violates medical asepsis when the nurse is performing handwashing?

A client is receiving Digoxin for congestive heart failure. The nurse will assess for early signs and symptoms of digoxin toxicity which include:

A client has been ordered Coumadin (an anticoagulant). The nurse is aware that there is a need for further education when the patient states:

In relation to extracellular body fluids, lactated ringers is: