Which of the following teaching points is the priority when the nurse is teaching the client about caring for a plaster cast?
1. The cast gives off heat as it dries.
2. The client can bear weight on the cast in 1 hour.
3. A stockinette and soft padding are put over the leg area before casting.
4. Immediately report any increase in drainage or interruption in cast integrity.
4
Rationale: Increases in drainage or interruption in cast integrity will affect healing and could lead to osteomyelitis. To apply a cast, the skin is washed and dried well. A stockinette is placed smoothly and evenly over the area to be casted, followed by a roll of padding. The plaster is then rolled onto the padding, and the edges are trimmed or smoothed if needed. A plaster cast gives off heat as it dries. A plaster cast can tolerate weight-bearing once it is dry, which varies from 24 to 72 hours, depending on the nature and thickness of the cast.
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Which statement is true about social and emotional health of older adults?
a. Contemporary society has strong norms for the behavior of adults older than 80 years. b. The transition to old age entails a declining level of contribution to others as one becomes increasingly dependent on them. c. Computers and the Internet have little to contribute to elders in their need for so-cial support. d. Nurses are often significant sources of social and emotional support for older adults.
The labor and birth nurse is admitting a client. The nurse's assessment includes asking the client whom she would like to have present for the labor and birth, and what the client would prefer to wear
The client's partner asks the nurse the reason for these questions. What would the nurse's best response be? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "These questions are asked of all women. It's no big deal." 2. "I'd prefer that your partner ask me all the questions, not you." 3. "A client's preferences for her birth are important for me to understand." 4. "Many women have beliefs about childbearing that affect these choices." 5. "I'm gathering information that the nurses will use after the birth."
A 23-year-old recent college graduate is confused about the next steps to take in life. During a visit to the primary care office for an influenza immunization, the client asks the nurse what to do next in life
Based on the information from this young adult, what should the nurse encourage as the best avenue for the client at this time? A) Choosing a occupation B) Establishing adult relationships C) Starting a family D) Reappraising commitments
A patient is taking cefadroxil (Duricef) and comes to the clinic complaining of loose stools for several days. The primary care NP notes normal vital signs; warm, pink skin with elastic turgor; and moist mucous membranes. The NP should:
a. order tests for Clostridium difficile–associated disease (CDAD). b. discontinue the cefadroxil. c. reassure the patient that loose stools are common with antibiotics. d. recommend consuming lactobacillus-containing foods to minimize diarrhea.