A client has just returned to the nursing unit after computerized tomography (CT) with contrast medium. Which action should the nurse plan to take as part of routine after-care for this client?
A. Administering a laxative
B. Encouraging fluid intake
C. Maintaining the client on strict bed rest
D. Holding all medications for at least 2 hours
Ans: B. Encouraging fluid intake
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An HIV-infected patient asks, "Why do you have to wear gloves to dress the wound on my foot? I thought blood was the only thing you had to be careful with." Which represents what the nurse will tell the patient?
a. "I don't know; I just put them on." b. "Everyone wears gloves in the hospital." c. "Your wound is draining clear fluid." d. "I don't know; the wound is dry."
An adolescent female is concerned about developing toxic shock syndrome. What teaching can the nurse provide to allay this patient's fears about the disorder? (Select all that apply.)
A) Avoid feminine hygiene sprays. B) Change tampons at least every 4 hours. C) Take acetaminophen (Tylenol) should a fever occur during menstruation. D) Use the largest absorbency tampon possible adequate for the menstrual flow. E) Tampons are to be avoided for 1 month after treatment for toxic shock syndrome.
The client is 1 day postoperative from a total hip replacement and has an abduction pillow in place. What is the best nursing action or intervention to prevent complications from this de-vice?
A. Apply lotion to the client's legs daily. B. Turn the client only to the nonoperative side. C. Assess the client's skin under the straps every 2 hours. D. Change the client's antiembolic stockings every 24 hours.
A client is diagnosed with an elevated cholesterol level. What should the nurse instruct the client regarding foods to avoid?
1. Fish. 2. Milk. 3. Liver. 4. Chicken. 5. Egg yolk.