Identify the teaching point the nurse should include in the discharge plan for a renal transplant client about the risks of infection postoperatively
a. If you develop fever, chills, joint pain, or headache, contact the physician imme-diately.
b. You can stop taking your Prograft if you start to feel sick or if you are very tired.
c. You will never be able to go to church or go any place where there are crowds of people.
d. You should avoid going to the dentist or the gynecologist for at least a year after your surgery.
A
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What should the nurse suspect a patient is developing when he is observed holding his Bible 6 inches from his face and turns his head to read out of the corner of his eyes?
a. Cataracts b. Glaucoma c. Presbyopia d. Macular degeneration
Which is an important nursing intervention when caring for an infant with a myelomeningocele in the preop stage?
1. Place infant supine to decrease pressure on the sac. 2. Apply a heat lamp to facilitate drying and toughening of the sac. 3. Measure head circumference daily to identify developing hydrocephalus. 4. Apply a diaper to prevent contamination of the sac.
The nurse caring for a child with disseminated intravascular coagulation (DIC) would identify which of the following as being a priority nursing intervention for this child?
1. Frequent ambulation 2. Maintenance of skin integrity 3. Monitoring of fluid restriction 4. Preparation for radiograph procedures
A new mother and her baby are to be discharged from the hospital tomorrow. Which behavior indicates a need for further instruction before discharge? The mother:
a. Changes her baby's diaper, then shows the nurse the contents of the diaper b. Continues to hold and cuddle her baby after she has fed him c. Leaves the baby on her bed while she takes a shower d. Reads a book while her baby sleeps