Which of the following patients would not be discharged to be cared for by the family?
A) a patient who needs sterile dressings changed
B) a patient with a feeding tube in place
C) a patient receiving IV medications
D) a patient who lacks knowledge of the treatment plan
D
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A postpartum woman who experienced a spontaneous vaginal birth 12 hours ago describes a headache that is worsening. The patient was given two regular-strength acetaminophen (Tylenol) tablets approximately 30 minutes ago but has had no relief from the pain
The most appropriate nursing action at this time is to do which of the following? A. Ask any visitors to leave now or stay quiet. B. Dim the lights in the patient's room. C. Notify the patient's health-care provider. D. Perform a comprehensive pain assessment.
Following valve replacement surgery, the client is taught that if fever, increased heart rate, fatigue, malaise, anorexia, weight loss, headache, chills, and/or night sweats occur, the client needs to notify the health care provider, as this is as a
sign of: 1. Infective endocarditis. 2. Myocardial infarction. 3. Valve rejection. 4. Heart failure.
A 41-year-old female victim of rape tells the nurse that she believes the rape was a punishment by God for placing her mother in a nursing home against her will. Based on an assessment of the data, the best response by the nurse is to:
A) Acknowledge the victim's spiritual frustration and invite her to express her feelings. B) Indicate to the victim that her view is incorrect. C) Explain to the victim that rape happens even to the most religious women. D) Make it clear to her that the rape was not a punishment by God.
A client is diagnosed with burning mouth syndrome. Which of the following interventions should be included in this client's plan of care?
1. Assess the condition of the client's teeth. 2. Collect a saliva specimen for analysis. 3. Tell the client to avoid vitamin supplements. 4. Teach the client how to conduct an oral self-assessment daily.