The pediatric nurse discusses home care with the parents of a patient who is returning home following a spinal fusion. Some of the recommended measures discussed by the nurse include:
Select all answers that apply.
A) encourage swimming and cycling at 3 to 4 weeks following surgery.
B) allow the child to return to school about 2 to 3 months following surgery.
C) maintain a regular diet with added calcium, fiber, fluids, and vitamin C.
D) encourage ambulation when permitted, usually 2 to 3 weeks postoperatively.
A, C
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A 52-year-old female tells the nurse that she has found a painless lump in her right breast during her monthly self-examination. Which assessment finding would strongly suggest that this patient's lump is cancerous?
A) Eversion of the right nipple and a mobile mass B) Nonmobile mass with irregular edges C) Mobile mass that's soft and easily delineated D) Nonpalpable right axillary lymph nodes
Which finding on digital rectal examination (DRE) is consistent with prostate cancer?
A. The prostate is uniformly enlarged. B. The texture of the prostate is spongy or elastic. C. The prostate indents when a finger is pressed on it. D. There are several stony, irregular nodules within the prostate.
Which of the following actions is the primary nursing responsibility regarding client education?
1. Providing accurate, current, relevant information 2. Answering the client's questions regarding health-related issues 3. Assessing the individual client's readiness and motivation to learn 4. Identifying areas where clients are in need of educational information
The patient requires temperatures to be taken every two hours. Which of the following cannot be delegated to nursing assistive personnel?
a. Selecting appropriate route and device b. Obtaining temperature measurement at ordered frequency c. Being aware of the usual values for the patient d. Assessing changes in body temperature