A client has bone cancer. What intervention does the nurse implement as a priority for this client?
a. Using a lift sheet when repositioning the client
b. Positioning the client's heels to keep them from touching the mattress
c. Providing small, frequent meals rich in calcium and phosphorus
d. Applying pressure for 5 minutes after intramuscular injections
A
Bone metastasis of cancer can cause such bone destruction that grasping or pulling a client can result in a pathologic fracture. Using a lift sheet spreads the client's weight more evenly, pre-venting excessive force on any one body area. Preventing pressure on the heels will help prevent pressure ulcers; this is a good intervention for all clients but does not take priority over preventing fractures. Adding calcium and phosphorus to meals will not prevent fractures. Applying pressure after IM injections is not related to this client's condition.
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Which of the following statements indicates an appropriate understanding by the student nurse (SN)?
a. "I will be held to the same ethical standards as professional nurses." b. "I will not be held ethically accountable until I graduate." c. "My nurse educators are responsible for my ethical standards." d. "Ethics are not important as a student."
When giving a tubal medication, the nurse should flush the tubing with ___ to ___ mL of water
ANS:
In the majority culture of the United States, the individual at greatest risk for being labeled mentally
ill is a. one who is wealthy and goes around the city giving away $20 bills to needy individuals. b. one who attends a charismatic church and describes hearing God's voice speaking to her. c. one who always has an optimistic viewpoint about her life situation and the possibility of having her needs met. d. one who is usually pessimistic about possible outcomes but strives to meet personal goals.
A client reports severe pain in the back and joints. Upon reviewing the client's history, the nurse notes a diagnosis of depression and frequent hospitalizations for somatic illnesses. What should the nurse encourage this client to do?
A. Tell the physician about the pain so that its cause can be determined. B. Remember all the previous "health problems" that weren't real. C. Try to get more rest and use relaxation techniques. D. Ignore the pain and focus on happy things.