A client has undergone a double mastectomy for breast cancer. The client is spending sleepless nights worrying about how this surgery will impact her future. What should be the nurse's highest priority nursing action at this time?
A) Consult the surgeon to order a sedative/hypnotic medication for the client to promote sleep
B) Encourage the client to complete activities of daily living independently
C) Provide the client with a safe, quiet, and peaceful sleeping environment
D) Work together with the occupational therapist on rehabilitation goals
B
Feedback:
The client is worried about how the mastectomy will impact on the future. The nurse should assist the client to regain positive self-esteem by encouraging independence with activities of daily living. The primary need of the client at this time is to regain self-esteem, so providing sedative/hypnotic medication and quiet, peaceful surrounding to promote sleep will not help. Working with an occupational therapist will assist with rehabilitation but not the self-esteem need.
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The parents of a newborn girl express concern about the infant's vaginal discharge, which appears to be bloody mucus. What does the nurse explain as the cause?
a. Premature stimulation of the ovarian hormones by the pituitary system b. Cessation of female sex hormones transferred in utero from mother to infant c. The increased amount of circulating blood from the mother throughout pregnancy d. Trauma to the genitalia during the birth process
Men over age 50 should consider an annual _________ test and rectal examination
ANS:
Which statements are true regarding pediatric patients and pharmacokinetics? (Select all that apply.)
a. The levels of microsomal enzymes are decreased. b. Perfusion to the kidneys may be decreased and may result in reduced renal function. c. First-pass elimination is increased because of higher portal circulation. d. First-pass elimination is reduced because of the immaturity of the liver. e. Total body water content is much less than in adults. f. Gastric emptying is slowed because of slow or irregular peristalsis. g. Gastric emptying is more rapid because of increased peristaltic activity.
As the nurse continues to care for the client during the working phase of the therapeutic relationship, the client's needs change. What nursing action is appropriate at this time?
A) Reminisce about the client's progress. B) Restate the purpose of the relationship. C) Address confidentiality issues. D) Revise the plan of care as needed.