The nurse prepares discharge plans for home care of the 11-year-old client with a synthetic cast on the arm. Which nursing diagnosis should the nurse use to promote bone healing?
1. Impaired mobility related to cast
2. At risk for client injury from falls
3. Activity intolerance from fracture
4. Knowledge deficit related to cast care
4
4. Keeping the cast in good condition is vital to the client's outcome and proper bone healing because the cast maintains bone alignment until bone repair is complete; thus, the nurse uses Knowledge deficit related to cast care to promote bone healing.
1, 2, and 3. Client mobility is most likely to be impaired the first few days after the fracture until the client adjusts to moving with the cast; however, client risks and ac-tivity intolerance should not increase from a few days of reduced activity.
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An older patient is not breathing well and has cold, mottled skin. The patient has a living will and requests comfort measures only. What should the nurse do to care for this patient?
1. Ask the family what they want to be done for the patient. 2. Contact the physician for orders to control the patient's breathing. 3. Provide personal hygiene and skin care as outlined in the care plan. 4. Withhold pain medication, hygiene, and nutrition until the patient dies.
Which of the following techniques may be used to enhance coping?
a. Encouraging the patient to let the staff have total control of the patient's care b. Encouraging denial of the illness c. Letting the patient know everything will be all right d. Fostering trust in the health care team
The nurse wishes to test opposition ability in the patient's thumb. How would the nurse instruct the patient?
1. "Touch each one of your fingertips with your thumb.". 2. "Move your thumb across your palm away from the rest of your fingers.". 3. "Move your thumb across your palm and touch your fifth finger.". 4. "Move your thumb anteriorly away from the palm and then back.".
A nurse is brushing the hair of a client admitted to the health care facility following a fracture in the hand. The nurse implements this action based on the understanding that brushing the hair achieves which of the following?
A) Facilitates oil distribution B) Cleans hair and scalp C) Removes excess oil D) Cleans the hair of dirt