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Question 24
The nurse is providing discharge teaching for a client with a new colostomy. Which of the following client actions indicates that the teaching has been effective?
Question 24 options:
Takes acetaminophen when a temperature of 38.3°C
Contacts the health care provider if there is pain or erythema
Drinks at least 500 mL of fluid a day
Empties the colostomy bag once it is 2/3 full
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- Question 27 When assessing the quality of life in a person who has an ostomy, the nurse should focus on the client’s: Question 27 options: Ability to provide self care Body image and sexuality Understanding of potential complications Ability to pay for ostomy suppliesQuestion 9 The nurse is caring for a 16 year old male client who attempted suicide, upon entering the room the nurse notices the client is tearful and silent. What is the nurse's best initial response? Question 9 options: Sit quietly beside the client and wait for the client to start speaking. Say, “I see you are tearful. Tell me about what is going on in your life, and we see how we can help you." Say, “You are crying. That means you feel badly about attempting suicide, so many people are worried about you" Observe the behavior, record it, and notify the health care provider.Question 10 The RN is working with a recently admitted client to understand the impact their mental illness has on their interpersonal relationships and daily functioning. Using the Tidal Model approach, how would the nurse document their findings? Question 10 options: Document your interpretation of the interview in a narrative style including as much detail as possible Document the interview using the patient's words, but only include what you feel is important Document the interview using the patient's words including all aspects of the patient's story Document your interpretation of the interview using point form notes
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- Question 8 Which response demonstrates that the nurse is taking a client's statement about suicide seriously? Question 8 options: "Many people find ways to overcome these feelings." "I’m concerned, do you have a plan to take your own life?” "I think you will feel better after you have had a chance to rest.” "It sounds liked you have some concerns, tell me more."Question is based on the following information. RICE (rest, ice, compression, & elevation) Routine for First Aid Rest Rest the injured part of your body to reduce further swelling and bleeding. Avoid moving the injured part. Ice Compression Wear a compressed bandage for at least two days to help reduce bleeding and swelling. Elevation Helly SE Apply an ice pack to the injured area for twenty to thirty minutes every two to three hours for the first forty- eight hours after an injury. This will help relieve pain and minimize bruising and swelling. MA Raise the injured part of your body (above your heart when possible) to help reduce swelling SAMSUNGBook question This client is a 23-year-old white female complaining of a painful, swollen ankle. States that she stepped ‘funny’ off a step two days ago and thinks she heard a ripping sound. She takes no medications and has no allergies. The client reports pain as 5/10 with sharp twinges when trying to walk, a notable limp is noted when the client walks favoring the affected extremity. She states resting and ice decreases pain to 2/10 aching. Pain is primarily in the outer aspect of ankle and foot. Has no prior injury to this area. No significant past medical history.” When you examine the ankle the outer aspect of the malleolus is swollen and reddened with 2+ edema noted to the area, pedal pulses are palpable and strong. Describe 2 actual potential risk factors
- The nurse clarified the verbal order dosage from the physician and 5 mg morphine sulfate IV q6h PRN for pain was ordered. The nurse goes to the medication room and retrieves the following morphine sulfate vial: •MorphineSulfate Injection l2 mg / mLfresenius Kabi Canada How many milliliters should the nurse draw up to give the medication as ordered? ___ mLQuestion 25 When providing post operative health teaching to the client who has a new ostomy on how to prevent parastomal hernias, the nurse should include the following: Question 25 options: Wear firm supportive abdominal binders 1 week after surgery Perform abdominal strengthening exercises as soon as possible Avoid any heavy lifting up to 6 weeks after surgery Routinely irrigate the stoma if stool appears firmQuestion: What is the possible diagnosis of the patient? Past health history: constipation for the last 7 days accompanied by difficulty of breathing (DOB) and Abdominal pain. Present Health history: chief complaint of Abdominal pain. Prior to admission, facial edema and bipedal edema was notice during physical assessment. Laboratory: Temperature 36°c, Pulse Rate -127, Respiratory Rate- 22,Blood Pressure -120/90,URIC ACID :10.20 mg/dL,CREATININE :1.33 mg/dL