A client has a metastatic bone tumor. What action by the nurse takes priority?
a. Administer pain medication as prescribed.
b. Elevate the extremity and apply moist heat.
c. Handle the affected extremity with caution.
d. Place the client on protective precautions.
ANS: C
Bones invaded by tumors are very fragile and fracture easily. For client safety, the nurse handles the affected extremity with great care. Pain medication should be given to control pain. Elevation and heat may or may not be helpful. Protective precautions are not needed for this client.
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The nurse assumes responsibility for a client's care regardless of the client's location. This type of nursing management system would be:
a. team nursing. c. modular nursing. b. primary nursing. d. case management.
Grant funding has been decreased for community disease-prevention programs. Which programs are the nurse's priority to implement, without modification, for the community of older-adult clients? Select all that apply.
1. Smoking cessation program for lung cancer prevention for an assisted living group. 2. Seasonal influenza vaccine clinic for the groups at the senior citizen's center. 3. Biannual pneumonia vaccine clinic at the local grocery store on senior discount day. 4. Antituberculosis vaccine and tuberculosis prevention education at the refugee center. 5. Weekly gathering of an older adult group for walking at the park together.
What is an exploratory study?
a. A search for cause and effect or interactive relationships between concepts. b. A comparison of earlier exposure to a risk factor between cases and controls. c. An examination of the relationships or differences between the concepts and other factors. d. A comparison of two or more variables over a long period of time.
Stress, stress-related conditions, and mental illnesses are prevalent among populations when severe economic difficulties exist. Your client is suffering from stress related to the depressed lumber industry in his county. This may be called:
1. Manic-depression 2. Psychosis 3. Anticipatory grieving 4. Farm stress