The nurse is planning to instruct a patient with secondary polycythemia about ways to prevent blood stasis. What should be included in these instructions?
1. Leg pain is normal.
2. Elevate feet and legs when sitting.
3. Restrict fluids.
4. Black stools are to be expected.
Correct Answer: 2
Measures to prevent blood stasis include elevating the legs and feet when sitting, using support stockings, and continuing treatment measures. The patient and family should be taught the importance of maintaining adequate hydration and increasing fluid intake during hot weather and when exercising. The patient should be instructed to report manifestations of thrombosis such as leg or calf pain; chest pain; neurologic symptoms or bleeding manifested as black, tarry stools and vomiting blood or coffee-ground emesis.
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The nurse is assessing the postoperative client's pain. This client had surgery two hours ago, involving the stomach, and diaphragm. What will be the most appropriate description of this client's pain?
1. Acute, neuropathic, and visceral 2. Chronic, somatic, and referred 3. Acute, visceral, referred 4. Acute, cutaneous, phantom
A female college student has had a melanoma of the forehead surgically removed and given a course of chemotherapy. Which comment demonstrates an understanding of the treatments and prognosis?
a. "Why did you bring me this shampoo? You guys took all my hair, so I don't have anything to wash or fix." b. "Why don't my friends from school come to visit? Did you tell them to stay away?" c. "My spring dance is only 3 weeks away. Do you think I could find a wig to cover my head where the hair fell out from the chemo?" d. "Well, this looks like the end of the prob-lem for me, thank goodness! I won't have to bother that doctor again until I graduate in a couple of years because all my shots must be up to date now."
The nurse is caring for a client with skin breakdown of the coccyx area. The physician has ordered a medication to be applied to the area. In applying the medication, the nurse is practicing which aspect of the Nursing Process?
a. Assessment b. Planning interventions c. Implementation d. Evaluation
When caring for a patient of a different culture, it is important for the nurse to understand that
a. The nurse should protect the patient from family intrusion in her health care decisions. b. Working within the established family hierarchy produces better outcomes. c. Women as primary caregivers make independent health decisions. d. Gender is not a factor when it comes to role expectations.