The patient has developed a large pleural effusion as a complication from lung cancer. The patient's life expectancy is short. What medical treatment does the nurse anticipate?
A) Observation
B) Thoracentesis
C) Diuretic therapy
D) Pneumonectomy
B
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A patient experiencing immotile cilia syndrome should be frequently assessed by the nurse for which priority complication?
A) Epistaxis resulting from loss of cilia in the nasal passageway B) Bronchiectasis due to interferences with clearance of inhaled bacteria along the respiratory tract C) Sterility caused by inability of the sperm to swim downstream D) Inability to hear soft sounds related to kinocilium on the hair cells in the inner ear
The nurse is caring for a client who is newly diagnosed with atrial fibrillation. The client states he has many questions. At what point in the client contact experience does assessment for learning begin?
A) During a morning assessment B) When presenting the client with a brochure C) Once the physician confirms the diagnosis D) At the time of arrival to the hospital for care
The nurse has completed giving discharge instructions to the patient after a hernia repair. The nurse would determine that the patient understands the instructions if he verbalizes that he will:
1. be going back to work tomorrow. 2. not change the dressing until he sees his physician in 2 weeks. 3. ignore changes in the size of his abdomen. 4. report fever, redness, swelling, or increased pain at the incision site.
Explain why incontinence may occur because of inability to reach toileting facilities on time. Discuss why mentally confused residents may be incontinent more often than alert residents. Do you think this is caused by a physical problem or a mental problem? Why? What can the nursing assistant do to prevent episodes of incontinence? What effects do incontinence prevention measures have on the resident? Is it easier to clean and change a resident after an incontinent episode or to take a resident to the toilet?
What will be an ideal response?