The nurse teaches a patient about Steri-Strips after suture removal. What information does the nurse include in patient teaching?
a. They provide a skin barrier.
b. They provide gentle support.
c. They prevent scarring of the wound.
d. They collect additional drainage.
B
Steri-Strips provide continued support to the incision after sutures or staples are removed. The nurse instructs the patient to expect the Steri-Strips to curl up and eventually fall off the skin and instructs the patient not to remove them. Steri-Strips do not provide a barrier since they are not applied continuously along the incision. The method of skin closure, site, and patient status de-termine the level of scarring. Steri-Strips are able to absorb only a few drops of drainage.
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After teaching a client who was malnourished and is being discharged, a nurse assesses the client's understanding. Which statement indicates the client correctly understood teaching to decrease risk for the development of metabolic acidosis?
a. "I will drink at least three glasses of milk each day." b. "I will eat three well-balanced meals and a snack daily." c. "I will not take pain medication and antihistamines together." d. "I will avoid salting my food when cooking or during meals."
A nurse assesses a client who is recovering from a radical nephrectomy for renal cell carcinoma. The nurse notes that the client's blood pressure has decreased from 134/90 to 100/56 mm Hg and urine output is 20 mL for this past hour
Which action should the nurse take? a. Position the client to lay on the surgical incision. b. Measure the specific gravity of the client's urine. c. Administer intravenous pain medications. d. Assess the rate and quality of the client's pulse.
In determining whether a client has dysthymic disorder or a major depressive disorder, which of these characteristics would be associated with the client who has dysthymic disorder?
a. The client feels depressed nearly all the time. b. An actual physical imbalance is the cause. c. It occurs more commonly than major depressive disorders. d. It occurs more often in men than in women.
Which intervention should the nurse provide to help prevent social isolation in a patient who has a radioactive implant?
a. Visit the patient frequently, but do not touch the patient. b. Help provide diversional activities that the patient enjoys. c. Encourage family to stay with the patient, but have them wear masks and gloves at all times. d. Have only one nurse provide care to increase consistency.