What comfort measure can only be performed by a nurse, as opposed to an unlicensed assistive personnel (UAP), for a client who returned from a left modified radical mastectomy 4 hours ago?

a. Placing the head of bed at 30 degrees
b. Elevating the left arm on a pillow
c. Administering morphine for pain at a "4" on a 0-to-10 scale
d. Supporting the left arm while initially ambulating the client


ANS: C
Only the nurse is authorized to administer medications, but the UAP could inform the nurse about the rating of pain by the client. The UAP could position the bed to 30 degrees and elevate the client's arm on a pillow to facilitate lymphatic fluid drainage return. The client's arm should be supported while walking at first but then allowed to hang straight by the side. The UAP could support the arm while walking the client.

Nursing

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a. Assessing mental function b. Monitoring interpersonal communication c. Evaluating choices d. Reviewing educational level

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The nurse practitioner is ensuring that an adequate amount of educational materials are printed in languages that reflect the patient population. What are the reasons for this health care provider treating a more diverse patient population?Select all that apply.Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A. Demographic changes B. Participation in insurance programs C. Reflects the nurse practitioner's cultural background D. The nurse practitioner is from a minority group. E. The educational materials will teach the patient how to be healthy or ill.

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A patient will be discharged from the hospital with a prescription for TMP/SMZ [Bactrim]. When providing teaching for this patient, the nurse will tell the patient that it will be important to:

a. drink 8 to 10 glasses of water each day. b. eat foods that are high in potassium. c. take the medication with food. d. take folic acid supplements.

Nursing

The nurse has an adequate understanding of nurse practice acts when stating which of the following?

a. "Nurse practice acts do not help guide nurses.". b. "Nurse practice acts describe how to pre-pare for the NCLEX exam.". c. "Nurse practice acts describe how and when to renew a nursing license.". d. "Nurse practice acts provide a list of job openings.".

Nursing