A client has just undergone surgery for peripheral nerve trauma. Which interventions does the nurse include in the client's plan of care? (Select all that apply.)
a. Immobilization of the affected area with a splint
b. Rotation of cold and heat therapy
c. Occupational therapy
d. Skin care, including hygiene and oint-ments
e. High-fat, low-protein diet
A, C, D
Care for the client with peripheral nerve trauma includes immobilization before and after surgery, and skin care to prevent skin breakdown and promote healing. The client may likely require physical or occupations therapy during the recovery process. The client will have decreased sensation, so cold and heat therapy should not be used. The client will require a diet high in pro-tein to promote healing.
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Which of the following best describes the approach to health care used by states?
a. Federal funding encourages experimentation in creating new programs. b. Insurance regulations concerning reimbursement cross state lines. c. Information about successful programs is known to legislators. d. States frequently develop new programs as federal funds become available to pay for them.
A client asks the nurse why a medication prescribed by the provider "didn't do anything at all." Which statement by the nurse accurately describes how genetics influence drug action?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. "Genetic differences can result in significant differences in how each client's body handles the same medication." B. "Genetic differences can cause mutations in enzymes, changing the way they function. This can alter how the body metabolizes and excretes drugs." C. "Because of genetic differences, medication may accumulate to toxic levels in one client while in another client may be inactivated before it can have a therapeutic effect." D. "Genetic differences can be expressed as an alteration in the structure of an enzyme, which can cause a defective receptor and an allergic response to drugs." E. "Genetic differences in clients who are biracial result in an allergic response to medications."
The nurse is providing care to a pediatric client admitted to the pediatric intensive care unit (PICU) following a motor vehicle accident (MVA). The child weighs 39 pounds
Calculate the child's minimum expected urinary output in milliliters (mL) over an 8-hour period. _______ mL. Round to the nearest whole number.
The student nurse is preparing a teaching plan for a patient being discharged status post MI. What should the student include in the teaching plan? (Mark all that apply.)
A) Need for careful monitoring for cardiac symptoms B) Need for carefully regulated exercise C) Need for dietary modifications D) Need for early resumption of prediagnosis activity E) Need for increased fluid intake