The nurse completes client teaching about synthetic cast care at home. Which does the nurse instruct the client to report about the cast?
1. Dry and stiff
2. Softening cast
3. Soiled exterior
4. Rough exterior
2
2. The nurse instructs the client to report any defects in cast integrity. If the cast sof-tens, it loses its ability to maintain bone alignment, so the nurse instructs the client to report this because it may warrant further investigation by the nurse.
1, 3, and 4. A synthetic cast should be dry, stiff, and rough. For soiling, the client can rinse the cast in warm water and dry thoroughly.
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A) Disordered thought B) Increased social interaction C) Hypoactivity with aggressiveness D) Paranoid hallucinations
Which of these factors determines the amount of time spent in any of the three phases of nurse-client interaction?
a. purpose of the interaction b. length of client appointment or hospitalization c. skill and experience of nurse d. presence of client's family members
On assessment, a labor patient is noted to have frothy sputum, a heart rate of 110, and a large amount of continuos vaginal bleeding. The nurse should suspect:
1. An amniotic fluid embolus. 2. Placental abruption. 3. DIC. 4. Congestive heart failure.
Verification of feeding tube placement includes
a. auscultation for position. b. aspiration of stomach contents. c. x-ray study for confirmation. d. gastric pH measurement.