During preoperative teaching for a female client who will undergo subtotal thyroidectomy, the nurse should include which statement?
a. "The head of your bed must remain flat for 24 hours after surgery."
b. "You should avoid deep breathing and coughing after surgery."
c. "You won't be able to swallow for the first day or two."
d. "You must avoid hyperextending your neck after surgery."
Answer: d. "You must avoid hyperextending your neck after surgery."
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The nurse assesses a circular, flat, reddened lesion about 5 cm in diameter on a middle-aged patient's ankle. How should the nurse determine if the lesion is related to intradermal bleeding?
a. Elevate the patient's leg. b. Press firmly on the lesion. c. Check the temperature of the skin around the lesion. d. Palpate the dorsalis pedis and posterior tibial pulses.
When focusing on relapse prevention, what is most important for the client?
A) Acknowledge connection to a greater power. B) View the disorder as only one facet of who the client is. C) Recognize that most relapses occur after five years of being chemically clean. D) Identify high-risk situations.
The most effective intervention for clients with delirium is which of the following?
A) Giving detailed explanations B) Managing environmental stimuli C) Promoting rest with PRN medications D) Providing activities for distraction
The main concern with the use of potassium-sparing diuretics is the development of ________, especially in patients who are also taking ACEIs, ARBs, or potassium supplements.
A. hyperkalemia B. thrombosis C. thrombocytopenia D. hirsutism