The patient receiving radiation therapy often has conspicuous skin markings left on the skin after treatment. What is the most appropriate nursing implication regarding these markings?
a. They are residue of the treatment and must be washed off.
b. They are caused by radiation and will be permanent.
c. They indicate an allergic reaction and should be reported.
d. They are guidelines for treatment and should be left on.
D
When external radiation is planned, the specific area on the body is marked to indicate the part at which external radiation will be directed. These markings must not be washed off.
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The nurse caring for a client with a fractured third cervical vertebrae determines the client is in spinal shock. Which bed position is the most appropriate for this client?
1. Flat 2. Semi-Fowler's 3. Trendelenburg 4. Reverse Trendelenburg
During a physical assessment of the abdomen, the nurse palpates a small mass above a patient's symphysis pubis. What should the nurse do at this time?
A) Gently press down on the mass. B) Stop the examination. C) Auscultate the mass. D) Percuss the mass.
A nursing instructor educates a class of nursing students about SOAPIER charting. The nursing instructor teaches that the acronym SOAPIER stands for
1. Symptoms, Objective, Assessment data, Plan, Intervention, Evaluation, Revision. 2. Subjective data, Objective data, Assessment data, Plan, Intervention, Evaluation, Results. 3. Subjective data, Objective data, Assessment data, Plan, Intervention, Evaluation, Revision. 4. Subjective data, Objective data, Assessment data, Problems, Intervention, Evaluation, Revision.
A client asks for a simple explanation of the difference between fat-soluble and water-soluble vitamins. The nurse explains the main difference by stating:
1. "Water-soluble vitamins are readily available in foods and fat-soluble vitamins are not as available.". 2. "The body has greater need for water-soluble vitamins than fat-soluble vitamins.". 3. "Fat-soluble vitamins can be stored by the body and water-soluble vitamins are not stored.". 4. "Fat-soluble tend to be found in meat and dairy products and water-soluble vitamins are found in carbohydrates.".