A client who had a laryngectomy will be discharged soon. Which of the following approaches would BEST provide the nurse with necessary information about support and home care?
a. "Can you give me the number of the person who will be assisting you when you are discharged?"
b. "Who do you have at home to help you once you are discharged?"
c. "Will you have enough help at home when you are discharged?"
d. "You will be requiring some assistance when you go home, so I have called our social worker to talk to you later today and help you coordinate your needs."
C
Nursing care of clients undergoing surgery for lung cancer focuses on monitoring respiratory status, providing pain relief, and supporting the client and family in dealing with the diagnosis and treatment. For clients who have a laryngectomy, maintaining communication is the major focus; the client and family also need instruction as to care of the stoma.
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The Centers for Disease Control and Prevention (CDC) classifies wounds according to the amount of contamination. What is the classification for an uninfected surgical wound with less than a 5% chance of becoming infected postoperatively?
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Which of the following phenomena best accounts for the increased presence of leukocytes at the site of inflammation?
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Mrs. Bower is a 39-year-old patient who has come to the office for a routine physical examina-tion. As the health care provider, you know that the skin temperature is best assessed with the:
a. dorsal surface of the examiner's hand. b. palmar surface of the examiner's hand. c. ulnar surface of the examiner's hand. d. pads of the examiner's fingers.
Which of the following nursing responses is most therapeutic when made in response to a par-ent's concern about her 3-year-old child's tendency to "break the rules"?
1. "Just keep reminding her of the rules." 2. "Daycare will help her learn to play fair." 3. "She will begin to understand that concept in a year or so." 4. "Add an age appropriate punishment for breaking the rules."