The nurse working in the emergency department (ED) is providing discharge teaching for a client with a newly applied cast to the left arm. Which statement by the client indicates additional teaching is required?
1. "When I take a shower, I will put a plastic bag over my cast and keep it dry."
2. "When my fingers feel cold, I will cover them with a blanket."
3. "I will go home today and put ice on the cast over the fracture and prop it on pillows."
4. "If I lose sensation in my fingers, I will call my doctor."
2
Rationale 1: This statement reflects understanding of home care.
Rationale 2: The client needs to understand the importance of performing neurovascular checks, and of the signs of compromise, including cold, pale fingers. The nurse would instruct the client that if the fingers of the casted arm feel colder than the other hand, the health care provider should be notified.
Rationale 3: This statement reflects understanding of home care.
Rationale 4: This statement reflects understanding of home care.
Global Rationale: The client needs to understand the importance of performing neurovascular checks, and of the signs of compromise, including cold, pale fingers. The nurse would instruct the client that if the fingers of the casted arm feel colder than the other hand, the health care provider should be notified. All of the other statements would reflect understanding of home care.
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A nurse recognizes that the process that gently propels the food bolus into the small intestine is called
1. Digestion. 2. Peristalsis. 3. Indigestion. 4. Absorption.
A resident has dementia. The person cannot explain when or where the pain is. How can you tell when the person has pain?
a. The person's family will tell you. b. Behavior changes may signal pain. c. The person will be stoic. d. Pain is not a concern. Persons With De-mentia cannot feel pain.