What is the MOST important concern of the nurse caring for a client with decreased range of motion and ambulatory ability?
a. prevention of contractures c. diagnosing locomotion disorders
b. assessing crepitus d. assessing synarthrosis
A
Nursing care of clients who sustain musculoskeletal trauma focuses on providing pain relief, careful positioning to maintain skin integrity, assessing complications that may arise from application of casts or traction, prevention of contractures and maintaining the mobility of unaffected muscles and bones.
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A child has recently been diagnosed with leukemia. The child's sibling is expressing feelings of anger and guilt. This reaction by the sibling is:
1. Abnormal; the sibling should be referred to a psychologist. 2. Unusual; the illness doesn't affect the sibling. 3. Unexpected; the cancer is easily treated. 4. Normal; the sibling is affected, too, and anger and guilt are expected feelings.
A patient, age 43, had a biopsy of a lump in her right breast that revealed a benign tumor. The nurse explains to her that a benign tumor differs from a malignant tumor in that benign tumors
a. do not cause damage to adjacent tissue. b. are simply an overgrowth of normal cells. c. do not spread to other tissues and organs. d. frequently recur in the same site.
The emergency department nurse is admitting a patient who has been sexually assaulted. The nurse is explaining how the physical evidence will be collected. Which statement made by the patient indicates that teaching has been effective?
1. "All the evidence will be kept in a locked cupboard until the police arrive." 2. "You have to collect evidence to prove I wasn't sexually active." 3. "The evidence you collect might be able to identify the rapist." 4. "I will find out whether the rapist has HIV from the evidence."
You want to make certain K.N. knows what “hold the next dose” means. What should you tell him?