The client returning to the clinic for a follow-up visit 3 weeks after abdominal surgery is concerned because she can feel small, uneven lumps under the suture line of the incision. What is the nurse's best response?
A. "Avoid touching those areas because you may dislodge the blood clots that keep your incision from bleeding."
B. "What you are feeling is growth of new tissue proceeding at different rates in the incision."
C. "Those are the deep stitches the surgeon placed, and they will eventually be ab-sorbed and disappear."
D. "Keep the incision covered for as long as those lumps can be felt."
B
Tissue healing and growth of new cells proceed at different rates along the incision. Small, firm lumps are usually new blood vessels or new collagen bases. They eventually smooth out without intervention when the scar is mature.
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The nursing student tells her instructor, "My patient is Jewish and when I tried to teach her about her antihypertensive medication she said, ‘I'd rather eat chicken soup than take those medications.'"
What is the most appropriate response by the instructor? a. "This is common folk medicine among some Jewish people. You can talk to her about taking her medications and eating chicken soup." b. "There is no scientific evidence to support chicken soup as a substitute for antihypertensive medications. Maybe you should do some research on this." c. "The patient can make her own choices and decisions, and there is nothing we can do about this." d. "You can tell the patient she can eat her soup, but she needs to understand that she has to take her medications first."
The female client belongs to a religious community that requires women to dress conservatively in clothing that covers the arms and the knees. This client expresses concern that her body will be exposed during a scheduled cardiac catheterization
How should the nurse respond to this concern? 1. Tell the client that medical personnel have seen so many people's bodies that they don't even notice any longer. 2. Make a note in the client's chart that she is particularly modest. 3. Explain to the client that in order to perform the study, her body must be exposed. 4. Ask the cath lab charge nurse to come to the client's room to talk with her about the concerns.
A patient has severe Paget's disease of the bone. The patient asks the nurse what can be done to alleviate the pain. The nurse will suggest that the patient discuss the use of which medication with the provider?
a. Alendronate (Fosamax) b. Calcifediol (25-Hydroxy-D3) c. Calcitonin-salmon (Miacalcin) d. Long-acting NSAIDs
The patient is receiving a statin drug. The nurse notes an increase in creatine kinase (CK) levels. What is the nurse's priority action?
1. Hold the drug and obtain another creatine kinase (CK) level in 6 hours. 2. Administer the drug and continue to assess for muscle pain. 3. Administer the drug and obtain another creatine kinase (CK) level in 6 hours. 4. Hold the drug and notify the physician.