A nurse has been assigned to a patient who has just had surgery to manage testicular cancer. When preparing the plan of care, which of the following problems will be of the highest priority?
1. Pain management
2. Anxiety and fear
3. Potential for nausea
4. Knowledge deficit related to radiation therapy
Pain management
Rationale: The problems listed will all need to be incorporated in the patient's plan of care, but assessing the patient's level of pain and providing interventions to address the complaints will be of the highest priority. Until the pain is at an acceptable level, the patient will be unable to meet other postoperative challenges.
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Select the primary rationale for the order in which you perform palpation, percussion, auscultation, and inspection of the abdomen
1. Manipulation of the abdomen may affect bowel sounds. 2. Percussion causes pain that increases bowel sounds. 3. Palpation before auscultation identifies tender areas. 4. Auscultation will reveal areas to palpate.
A client is hospitalized during an acute exacerbation of symptoms related to Crohn's. The nurse shows an understanding of the need for bowel rest by discussing with the client that he:
1. Will be receiving total parenteral nutrition (TPN). 2. Will be getting only a soft diet until the diarrhea subsides. 3. Should select foods that are high in potassium. 4. May find a high-calorie, low-fat, high-fiber diet helpful.
A home health nurse reviews the nursing care with the patient and family and then mutually discusses the expected outcomes of the nursing care to be provided. Which step of the nursing process is the nurse illustrating?
A) diagnosing B) planning C) implementing D) evaluating
Research has shown that the placement of body fat may be a more reliable indicator of what than the degree of total body fatness?
A) Obesity C) Chronic disease process B) Disease risk D) Body composition