A distressed family member asks about the purpose of the Gardner-Wells tongs. Which is the most helpful explanation by the nurse regarding the action of Gardner-Wells tongs?
a. Compress the cervical vertebrae.
b. Immobilize the head.
c. Allow the patient to be moved out of bed.
d. Align the cervical vertebrae.
D
The Gardner-Wells tongs are secured to the skull to separate and align the cervical vertebrae, but they do not immobilize the head. When the tongs are in place, the patient is bedridden.
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When educating a patient with a wound that is not healing, the nurse should stress which of the following dietary modifications to ward off some of the negative manifestations that can occur with inflammation?
A) Increase the amount of calcium in the diet, especially drinking milk and eating cheese. B) This is the one time whereby you should eat more fat (both polyunsaturated and saturated), so you can absorb more fat soluble vitamins. C) Since there is a loss of plasma proteins, you should increase your intake of organ meats like liver. D) Increase your intake of oily fish and fish oil so that you will increase absorption of omega-3 polyunsaturated fatty acids.
A client complains of increased body metabolism, tachycardia, weight loss, high body temperature, and anxiety. Based on the assessment findings, what diagnosis does the nurse anticipate for this client?
1. Hypothyroidism 2. Type II diabetes 3. Type I diabetes 4. Hyperthyroidism
A client asks the nurse to explain why a prescription for calcitriol (Calcijex) has been given when vitamin D is available without a prescription. What is the best response by the nurse?
1. "There is no difference between the two." 2. "This will allow you to buy vitamin D and pay your co-payment." 3. "You don't need to fill the prescription. You can buy the over-the-counter vitamin D." 4. "Calcitriol (Calcijex) is the active form of vitamin D, and the over-the-counter calcium is not the same."
A nursing student finds that she comes down with a sinus infection toward the end of every semester. When this occurs, which stage of stress is the student most likely experiencing?
A. Alarm reaction stage B. Stage of resistance C. Stage of exhaustion D. Fight-or-flight stage