A patient is scheduled for a splenectomy. During discharge education, what teaching point should the nurse prioritize?
A) The importance of adhering to prescribed immunosuppressant therapy
B) The need to report any signs or symptoms of infection promptly
C) The need to ensure adequate folic acid, iron, and vitamin B12 intake
D) The importance of limiting activity postoperatively to prevent hemorrhage
Ans: B
Feedback:
After splenectomy, the patient is instructed to seek prompt medical attention if even relatively minor symptoms of infection occur. Often, patients with high platelet counts have even higher counts after splenectomy, which can predispose them to serious thrombotic or hemorrhagic problems. However, this increase is usually transient and therefore often does not warrant additional treatment. Dietary modifications are not normally necessary and immunosuppressants would be strongly contraindicated.
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A nurse is caring for a 35-year-old client who is 12 hours post mastectomy. The care assistant re-ports that the client is crying. Which of the following responses by the nurse best reflects the use of analysis regarding this client's care needs?
1. "That surgery is painful. I'll get her pain medication ready." 2. "She was sleeping when I checked 15 minutes ago. I'll go back in right now." 3. "I'll be responsible for her PM care so I can spend some uninterrupted time with her." 4. "A mastectomy is a blow to a woman's self image. I'll notify her provider that she is depressed."
Which action by the nurse indicates a safe and efficient use of social networks?
a. Promotes support for a local health charity b. Posts a picture of a patient's infected foot c. Vents about a patient problem at work d. Friends a patient
Wheelchairs are "one size fits all" devices.
Answer the following statement true (T) or false (F)
P.M. asks, "Is a vaginal examination done at every visit?" Select the best response and explain
your answer. a. "Yes, an examination is done with each visit because it allows the examiner to note any possible infections that may be developing." b. "Yes, an examination is done with each visit because it offers vital information about the status of the pregnancy." c. "No, a vaginal examination will not be done again until you go into labor." d. "No, vaginal examinations are not routinely done until the final weeks of your pregnancy."