A client is scheduled to have a suspected cancerous lesion removed from the scalp. When planning care for this client, the nurse expects which of the following priority outcomes for this client?
1. The client will heal without signs of infection.
2. The client will experience some pain after healing.
3. The client will not need to make lifestyle changes.
4. The client will make nutritional changes.
1. The client will heal without signs of infection.
Rationale:
Following removal of a skin lesion, the nurse directs care aimed at the prevention of infection while the skin heals. The client should not experience pain after healing and will need to make lifestyle changes to prevent further occurrences of skin cancer. Nutritional changes may or may not be needed; however, prevention of infection is the priority.
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The patient will receive ranitidine (Zantac) 150 mg PO at bedtime. Prior to administration, the nurse will inform the patient that common adverse effects related to this medication include what?
A) Tremors B) Headache C) Visual disturbances D) Anxiety
In determining kcal expenditure, the nurse knows that carbohydrates and proteins provide 4 kcal of energy per gram ingested. The nurse also knows that fats provide _____ kcal per gram
a. 3 b. 4 c. 6 d. 9
The nurse is admitting a client to the acute care floor. While obtaining the history, the client tells the nurse she is allergic to penicillin. Which medication, if ordered by the physician, would be safe for this client?
1. Cefaclor (Ceclor) 2. Erythromycin (E-Mycin) 3. Cefdinier (Omnicef) 4. Cephalexin (Keflex)
A home health client has multiple sclerosis. In the last 6 months, his condition has deteriorated significantly. The home health nurse is concerned about the spouse experiencing caregiver role strain
Which of the following, if present, would the nurse expect to see or hear if this could be the situation? (Select all that apply.) 1. The home appears more unkempt and cluttered. 2. The spouse expresses feelings of anger. 3. The spouse reports decreased energy. 4. The spouse reports that she is learning how to manage finances.