A nurse is reinforcing discharge instructions for
A nurse is reinforcing discharge instructions for a client following a laminectomy. Which of the following instructions should the nurse include? a. Sit in straight-back chairs. b. Sleep on a soft mattress. c. Walk around at least every 3hr when on a long trip d. Bend at the waist when lifting objects A nurse is preparing home instructions for a client who has epilepsy. Which of the following Information should the nurse include in the teaching? a. Caffeine can help prevent seizure occurrence. b. Take showers rather than tub baths. c. Engage in exercise just prior to bedtime d. Fasting can help increase the seizure threshold A nurse is obtaining a 4-month-old infant’s vital signs. The infant’s heart rate is 190/min, and her temperature is 40* C (104*F). The father asks the nurse. “Why is my baby’s heart beating so fast?.” Which of the following is an appropriate response by the nurse? a. “This is within the expected range for your baby.” b. “The fever is causing an increase in your baby’s heart rate.” c. “Ask your baby begins to fall asleep, her heart rate will decrease.” d. “Your baby’s heart is beating fast in an attempt to cool down the body.” A nurse is preparing a client for intradermal tuberculin skin testing (TST). Which of the following statements should the nurse make? a. “An indurated area of 4 millimeters indicates a positive result.” b. “The injection site will be evaluated within 24 hours.” c. “The test will not be administered if you have had a previous negative result.” d. “A positive result does not always indicate active disease.” A nurse is collecting data on a client who has a surgical wound healing by secondary intention. Which of the following findings should the nurse report to the charge nurse? a. The wound is tender to touch. b. The wound has pink, shiny tissue with a granular appearance. c. The wound has serosanguineous drainage. d. The wound has a halo of erythema on the surrounding skin.
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