A client asks the nurse why there is "waxy yellow stuff" on the cotton swab when he cleans his ears. Which is the nurse's best response?
a. "The yellow ear wax helps transmit sound to your middle ear."
b. "The yellow ear wax indicates that you have an infection in your ears."
c. "The yellow ear wax helps protect and lubricate the inside of your ear canal."
d. "The yellow ear wax builds up when you don't clean your ears often enough."
C
The ear canal is lined with ear wax (cerumen), which offers protection and lubrication. Ear wax does not help with sound transmission and does not indicate ear infection or buildup because of infrequent cleaning.
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What will be an ideal response?
A patient, age 43, had a biopsy of a lump in her right breast that revealed a benign tumor. The nurse explains to her that a benign tumor differs from a malignant tumor in that benign tumors
a. do not cause damage to adjacent tissue. b. are simply an overgrowth of normal cells. c. do not spread to other tissues and organs. d. frequently recur in the same site.
A patient is preparing to return home after repair of a vaginal fistula. What teaching should the nurse provide before this patient is discharged?
Select all that apply. 1. Maintain bed rest for a week. 2. Use perineal pads as directed. 3. Perform perineal irrigation as prescribed. 4. Cleanse the perineal area daily with a sitz bath. 5. Apply topical antibacterial ointment to the area.
Matt is a 41-year-old client who has a long history of intravenous heroin and cocaine use. He has been admitted to the hospital for the treatment of endocarditis and is adamant that his current pain control regimen is inadequate
Some nurses on the unit are suspicious of Matt's motives and suspect that he is "drug seeking." How should the nurse begin the process of applying Chally and Loriz's model for resolving ethical dilemmas? A) Seek assistance from impartial informants. B) Create a list of plausible alternatives. C) Clarify exactly what the ethical dilemma is. D) Ask if the client himself believes there to be an ethical dilemma.