Which statement indicates K.B. understands the discharge instructions?
a. "I will take this medication on a full stomach."
b. "If I get a sore throat, ice chips should help me feel better."
c. "I should see an improvement in my symptoms by tomorrow."
d. "I will follow the precautions for 2 weeks to keep my family safe."
b
K.B. should be instructed that radiation thyroiditis is possible and might cause dryness and
irritation of the mouth and throat. Relief can be obtained with frequent sips of water, ice chips, or the
use of a salt-and-soda gargle three or four times per day. The maximum effects of RAI might take 2
to 3 months to be fully realized. After a treatment, K.B. should follow routine safety precautions for
48 to 72 hours. RAI is best administered on an empty stomach (i.e., 2 hours before or 2 hours after
eating) because of the risk of vomiting.
You are working on the surgical floor and will be receiving a patient from the postanesthesia care unit.
The nurse calls and gives the following report: C.P. is a 55-year-old woman who underwent a subtotal
thyroidectomy for papillary carcinoma. Estimated blood loss was 25 mL. Vital signs (VS) are 130/82, 80
to 90, 20, and Sao
2 94% on room air. She is receiving a peripheral intravenous (IV) infusion of D5.45NS at
100 mL/hr. She has received a total of 3 mg morphine sulfate IV push, and she remains awake, but drowsy,
and fully oriented. C.P.'s past medical history includes a total abdominal hysterectomy for fibroids and
low-level radiation treatments to the neck 30 years ago for eczema. Both parents are living; her father had
a myocardial infarction at 70 years of age; her mother has hypothyroidism but never had thyroid tumors.
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Nurses in the long-term care facility understand that residents:
1. Are unable to have sex. 2. Are incapable of orgasm. 3. Continue to need sexual expression. 4. Are not at risk for STIs.
Which of the following are reasons to involve an interpreter when working with a patient who speaks a different language than the nurse?
1. It is required by law. 2. In order to make an accurate assessment. 3. In order to develop a trusting relationship. 4. An interpreter is likely to provide the intent of the discussion.
A patient is admitted to the hospital with weight loss, fatigue, and an enlarged liver, and several diagnostic tests are performed. After reviewing the patient's chart, the nurse educates the patient about the health problem
1. "It sounds like my risk of dying from this is really high." 2. "This disease could just disappear all by itself." 3. "Okay, I am finally going to stop smoking." 4. "I should take my steroids with a meal."
There are many barriers to health care for rural residents. Commonly encountered barriers include all of the following except
1. Failure to appreciate and accept the importance of preventive health services. 2. Financial constraints, because rural residents often do not have health insurance provided by their employer. 3. Lack of easily available, relevant health information. 4. Long distances where residents must sometimes travel up to 40 or more miles to the nearest health care provider.