The unlicensed assistive personnel (UAP) is assisting the orthopedic physician to cut a window in a patient's cast. What does the nurse instruct the UAP to do?
a) Check the pulse that is assessed after the window is cut
b) Clean up and dispose of all casting debris
c) Inform the patient that the procedure is painless
d) Save the plaster piece that was cut so it can be taped in place
Answer: d) Save the plaster piece that was cut so it can be taped in place
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The nurse recognizes that the pediatric client is from a cultural background different from that of the hospital staff. The nurse identifies this as a potential problem, and sets a nursing goal to:
1. Overlook or minimize the cultural differences that exist. 2. Facilitate the family's ability to comply with the care needed through education. 3. Impose the nurse's cultural perspective on this family. 4. Encourage complementary beneficial cultural practices as primary therapies.
Pyrimethamine (Daraprim) has been ordered for the patient as prophylactic treatment of malaria. The nurse recognizes the action of this drug prevents relapse of the disease by acting on what?
A) Changing the metabolic pathways for reproduction B) Disrupting the mitochondria of the plasmodium C) Blocking the use of folic acid D) Increasing the acidity of plasmodial food vacuoles
A patient has been diagnosed as having blindness related to conversion disorder. She displays indifference regarding the conversion symptom. The nurse states, "I can't understand why the patient doesn't seem more anxious about her symptom."
Which explanation from the Clinical Nurse Specialist would enable the nurse to understand the patient's behavior? a. The patient is suppressing her true feelings. She is upset but is not showing it. b. The blindness is actually helping the patient by reducing her anxiety. c. Her needs are met during hospitalization, so she has no need to be anxious. d. She is controlling her own anxiety through partial denial of the blindness.
The nurse differentiates vascular dementia from Alzheimer's dementia in that vascular dementia is related to:
a. cerebral atrophy. b. global reduction of cognition. c. hypertension. d. emboli in cerebral vessels.