A client has metastatic lung cancer and is hospitalized for chemotherapy. Which intervention does the nurse delegate to the unlicensed assistive personnel? (Select all that apply.)
a. Assist the client with repositioning.
b. Teach the client to use the incentive spirometer.
c. Take vital signs every 4 hours.
d. Record intake and output measurements.
e. Promote the expression of grief and loss.
A, C, D
UAP can perform vital signs, record intake and output measurements, and aid in turning and positioning. Teaching and promoting client expression of feelings related to the grieving process are within the role of the nurse.
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The client considering a mammoplasty asks the nurse if she will still be able to breastfeed if she has the procedure. The nurse's best response includes what information?
1. The removal of adipose tissue disturbs the flow of milk, so she likely will not be able to breast feed. 2. The insertion of a saline device can be pocketed under the muscle to allow for future breastfeeding. 3. The likelihood of producing milk is slim, because the duct system is interrupted by the surgical procedure and implant. 4. Breastfeeding is discouraged postprocedure because it can change the shape of the breast and damage the implant.
A care modality is a:
a. method of organizing and delivering nursing care. b. staffing grid that outlines nursing unit work schedules. c. place or unit in which care is delivered. d. unit that specializes in caring for a specific population.
A client has advanced breast cancer and bone metastasis. Which problem does the nurse consider the priority?
a. Pain b. Mobility problems c. Risk for infection d. Malnutrition
A patient wants to be discharged to home and resume normal activities of daily living. The nurse realizes the patient is entering which stage of illness behaviors?
1. achieving recovery and rehabilitation 2. seeking medical care 3. assuming a dependent role 4. experiencing symptoms