A nurse enters a client's room to perform a focused assessment. Which of the following client information should the nurse use to properly identify the client?

Room number

Telephone number

Patient’s name

Diagnosis

Answer and Explanation

The Correct Answer is C

A.   Using the room number to identify a patient is not reliable since many clients may share it.
B.   The telephone number is not typically used for client identification during assessments.
C.   The nurse should use the client's name to properly identify the client before performing any assessment or intervention. This is a standard safety measure that helps to prevent errors and ensure quality care.
D.   The diagnosis is important for providing appropriate care but is not used for client identification during assessments.

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Correct Answer is C

Explanation

A. This response is associated with cranial nerve II, the optic nerve.

B. Tongue position is associated with cranial nerve XII, the hypoglossal nerve.

C. A symmetrical smile is indicative of cranial nerve VII, the facial nerve.

D. This action is associated with cranial nerve XI, the accessory nerve.

A. Instruct the client to take deep, rhythmic breaths. B. Encourage the client to apply a heating pad for 2 hr at a time. C. Remove distractions from the client's room. D. Apply an ice pack to the client's back for 1 hr.

Correct Answer is A

Explanation

A. Deep breathing is a relaxation technique that can help reduce pain by increasing oxygen delivery, decreasing muscle tension, and promoting a sense of calmness. The nurse should instruct the client to breathe slowly and deeply through the nose and exhale through the mouth.
B. Heat therapy may provide relief for muscle-related back pain but should not be applied for prolonged periods as it may cause tissue damage.
C. Minimizing environmental stimuli can help the client focus on relaxation techniques and alleviate pain perception but is not as effective as deep breathing.
D. Ice therapy is typically used for acute pain or inflammation and may not be appropriate for mild, ongoing back pain.

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A nurse enters a client's room to perform a focused assessment. Which of the following client information should the nurse use to properly identify the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client's cranial nerve VII. Which of the following responses should the nurse expect?

Correct Answer is C

Explanation

A nurse is planning to use nonpharmacological pain relief methods for a client who reports continued mild back pain after receiving analgesia 1 hr ago. Which of the following actions should the nurse include in the plan?

Correct Answer is A

Explanation

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