The nurse is planning care for a school-age client who is postoperative for the surgical removal of the appendix. In addition to pharmacologic pain management, which should the nurse include in the plan of care to address pain?

1. Applying a warm, moist pack every 4 hours
2. Applying EMLA cream to the incision site prior to ambulation
3. Applying a cold, moist pack every 2 hours
4. Applying a pillow against the abdomen to splint the incision site when coughing


4
Explanation:
1. Heat and moisture are not used on the incision area, as they can impair the healing process of the wound.
2. EMLA cream is a medication that requires a prescription.
3. Heat and ice are not used on the incision area, as they can impair the healing process of the wound.
4. A splint pillow placed on the abdomen is a nonpharmacologic strategy to decrease discomfort after an appendectomy.

Nursing

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A client is hospitalized with a second episode of pulmonary embolism (PE). Recent genetic testing reveals the client has an alteration in the gene CYP2C19. What action by the nurse is best?

a. Instruct the client to eliminate all vitamin K from the diet. b. Prepare preoperative teaching for an inferior vena cava (IVC) filter. c. Refer the client to a chronic illness support group. d. Teach the client to use a soft-bristled toothbrush.

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What has replaced the USDA's Recommended Dietary Allowance (RDA)?

a. Nutrition Recommended Allowance (NRA) b. National Bionutritional Allowance (NBA) c. Dietary Reference Intake (DRI) d. Dietary Guidelines for Americans (DGA)

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The nurse is developing a plan of care for the patient's fourth stage of labor. One nursing intervention is to promote bonding. Specifically, which nursing action will facilitate the bonding process?

a. Encourage the patient to call the baby by his or her first name. b. Stimulate the grasp reflex by placing the patient's finger in the infant's palm. c. Ask the patient if she wants her baby placed on her chest immediately after birth. d. Assess for familial characteristics and remark on the resemblance to the patient or the father.

Nursing

The comorbid psychiatric problem with the highest frequency in dementia is

A. Anxiety B. Depression C. Agitation and aggression D. Psychosis

Nursing