The nurse is educating a patient going home with a short arm synthetic cast. Which instructions should the nurse include in the teaching plan? (select all that apply.)
a. Cover the cast with a plastic bag when taking a shower.
b. Blow warm air into the cast to relieve itching.
c. Observe skin at the edge of the cast for irritation or injury.
d. Check circulation and sensation in the fingers frequently.
e. Move and flex the fingers to stimulate circulation.
A, C, D, E
All options listed are important teaching points for cast care except blowing warm air into the cast. If itching occurs, cool air will be most helpful.
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A patient who is legally blind is being admitted to the hospital. The patient informs the nurse that she needs to have her guide dog present during her hospitalization. What is the nurse's best response to the patient?
A) "Arrangements can be made for your guide dog to be at the hospital with you during your stay." B) "I will need to check with the care team before that decision can be made." C) "Because of infection control, your guide dog will likely not be allowed to stay in your room during your hospitalization." D) "Your guide dog can stay with you during your hospitalization, but he will need to stay in a cage or crate that you will need to provide."
A client who has long-standing diabetes mellitus and severe, burning pain in the feet and hands as a result of peripheral neuropathy asks the nurse why an antidepressant has been prescribed. What is the nurse's best response?
A. "Many people experiencing chronic pain become depressed." B. "The antidepressants may counteract the chemicals causing your pain." C. "You are less likely to become addicted from using antidepressants than you are from using other types of pain killers." D. "The antidepressants also have strong anti-inflammatory properties and can re-duce the pain you have from inflammation."
Which drug properties are problematic for older patients? (Select all that apply.)
a. Drugs with anticholinergic effects b. Drugs that are highly protein-bound c. Drugs with a short half-life d. Drugs that undergo hepatic conjugation e. Drugs with a narrow therapeutic range
The client is considered infertile. The physician orders clomiphene (Clomid). The nurse teaches the client about the medication and evaluates that learning has occurred when the client makes which statement?
1. "This medication increases my estrogen levels so I can ovulate." 2. "This medication stimulates LH (luteinizing hormone)." 3. "This medication stimulates FSH (follicle-stimulating hormone)." 4. "This medication stimulates gonadotropin-releasing hormone."