A patient recovering from surgery to stabilize a lumbar spinal cord injury is fitted with a clamshell brace. How would the nurse explain the purpose of this brace?
1. "Wearing this brace will eliminate the need for further surgery."
2. "You need to wear this device to support your stabilization."
3. "This brace will maximize your range of motion."
4. "You need to wear this brace to protect your surgical incision."
Answer: 2
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What should a nurse do when obtaining a stool specimen to be examined for ova and parasites?
a. Use an oil retention enema to facilitate collection b. Refrigerate the specimen immediately c. Obtain three different stool specimens on subsequent days d. Check the specimen for the presence of occult blood
Primary crisis intervention is potentially used by the nurse when
a. teaching a student nurse stress reduction techniques. b. assessing the coping strategies used by a client who attempted suicide. c. providing a postdischarge referral of a client with schizophrenia to a day hospital. d. obtaining an order for suicide precautions for a depressed client.
What would be your first nursing intervention when caring for a client with a somatoform disorder?
A) Establishing a trusting relationship B) Providing a comfortable environment C) Identifying positive feelings that the client may have D) Helping the client face his or her responsibilities
The nurse is triaging a patient who just presented to the emergency department. Which cluster of assessment findings would the nurse evaluate as indicating the greatest possibility that this patient is having a stroke?
1. Radicular pain, decreased deep tendon reflexes, loss of bladder control 2. Difficulty with balance, hemianopsia, hemiparesis 3. Dystonia, dysphagia, dysarthria 4. Paresthesia, priapism, loss of reflexes