Contact/exposure
What will be an ideal response?
z20
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The nurse is planning care for a client scheduled for a prostatectomy. The client's spouse wants to know if the client will have any limitations after the surgery. Which diagnoses should the nurse use to plan this client's care?
Select all that apply. A) Constipation B) Pain C) Impaired Urinary Elimination D) Risk for Falls E) Sexual Dysfunction
A non-English-speaking school-age client is hospitalized with encephalitis and is experiencing delirium. Which intervention promotes a therapeutic environment for this child and family?
A) Making sure the parents can set up the treatments for their child B) Encouraging the family to remain at the bedside with the client C) Making sure the child comes back for the follow-up appointment D) Providing written instructions before discharge
A client with a fever is ordered to receive sulfonamide therapy for an infection. The nurse needs to evaluate the client for which of the following during the course of therapy? Select all that apply
A) Response to drug therapy B) Elevated blood glucose levels C) Mental status changes D) Occurrence of adverse reactions E) Decrease in temperature
An older adult patient is currently undergoing detoxification for alcohol at a rehabilitation center
When assessing the patient using the Clinical Institute Withdrawal Assessment tool, the nurse determines the patient's current score to be 23 . The nurse: a. immediately institutes seizure precautions. b. monitors the patient's vital signs every 2 hours. c. arranges for the patient to be transferred to an acute care hospital. d. shares with the patient that the detoxifica-tion process is almost complete.