Following hip surgery, a patient is placed in a spica cast. What nursing interventions are appropriate for this patient? (Select all that apply.)
A.
Cutting a window in the cast
B.
Icing the area over the incision
C.
Increasing fiber in the diet
D.
Increasing fluid intake
E.
Maintaining the same position
ANS: A, C, D
Cast syndrome can be prevented by three nursing interventions: frequent repositioning, increasing fluids and fiber in the child's diet, and cutting a "belly hole" or a window in the cast to allow for abdominal expansion. The other two interventions do not help prevent cast syndrome.
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The nurse observes a patient demonstrating wound cleaning. What action indicates the need for further instruction?
a. Using sterile gloves to perform the cleaning b. Applying an antiseptic to the area c. Cleaning the area from the outside in d. Washing hands with soap
A 31-year-old woman and her husband have presented to their family physician due to their inability to conceive a child after trying for the last 18 months
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The nurse determines that further instruction is needed for a patient with interstitial cystitis when the patient says which of the following?
a. "I should stop having coffee and orange juice for breakfast." b. "I will buy calcium glycerophosphate (Prelief) at the pharmacy." c. "I will start taking high potency multiple vitamins every morning." d. "I should call the doctor about increased bladder pain or odorous urine."
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a. dirt and dust from getting into the eye b. discomfort from itching and burning c. complications such as corneal damage d. redness of the eyes