The nurse is admitting a client to a rehabilitation facility after surgery for a hip replacement. The nurse observes the client as appearing depressed
The client denies depression, but states that she is concerned about returning to her regular activities, including walking for exercise, because she is so tired. The nurse understands that :(Select all that apply) Standard Text: Select all that apply. 1. This client has unrealistic goals
2. Stress may be affecting this client's mobility
3. Walking will tire the client
4. The client is at increased risk of disease due to immobility
5. This client is at risk for affective disorder
2,4,5
Rationale: The client's goals are not unrealistic over time
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Interventions for assaultive clients that focus on protecting the client and others from potential harm are level ____ interventions
a. One b. Two c. Three d. Four
A patient who had surgery 8 hours ago has not voided. The nurse notifies the physician for an order to insert an indwelling urinary catheter
Which of the following statements should the nurse use to describe the procedure to the patient? "I need to: 1) "put a Foley in you because you haven't voided since your surgical procedure." 2) "insert a tube into your bladder to drain the urine because you haven't urinated since surgery." 3) "catheterize you because you haven't urinated since having your surgery." 4) "place a catheter in your bladder because you haven't voided since surgery."
The patient has been prescribed paricalcitrol (Zemplar) as a vitamin D supplement. Which of the following symptoms would lead the health care provider to suspect that the patient is experienc-ing vitamin D intoxication?
a. Mania b. Diarrhea c. Weakness d. Salty taste
On the second postoperative day after a subtotal thyroidectomy, the client tells the nurse that he feels numbness and tingling around the mouth. What is the nurse's best first action?
A. Offer mouth care. B. Loosen the dressing. C. Notify the physician. D. Document the finding as the only action.