A nurse is providing discharge instructions to a newly diagnosed client with hyperthyroidism. The nurse would instruct the client to avoid: Select all that apply
1. Stress.
2. Infections.
3. Crowds.
4. Contact sports.
5. Driving.
1. Stress.
2. Infections.
Rationale: Stress. Clients should be instructed to avoid additional stress, which can lead to complications of the disease. This should be done until the disease is under control. Infections. Clients should be instructed to avoid infections, which can lead to complications of the disease. This should be done until the disease is under control. Crowds. Avoiding crowds is not necessary with hyperthyroid disorders. Contact sports. Avoiding contact sports is not necessary with hyperthyroid disorders. Driving. Avoiding driving is not necessary with hyperthyroid disorders.
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The nurse is caring for a 39-year-old client who is 4 hours postoperative from general anesthesia. The client's spouse asks why it is important for the client to cough and deep-breathe. The most appropriate response from the nurse would be:
1. It is important in order to prevent a pulmonary embolism. 2. It is important in order to reduce the incidence of postoperative depression. 3. It is important in order to reduce the chance of aspiration pneumonia. 4. It is important in order to reduce the incidence of mucous plugs.
A nurse is observing a student nurse prepare a sitz bath. Which actions should be performed by the student? (Select all that apply.)
A. Confirm that the patient can ambulate to the bathroom. B. Fill the water bag with water heated to 120 °F (48.9 °C). C. Help the patient remove the peri-pad from front to back. D. Ensure that the patient is covered enough to prevent chilling. E. Place the sitz bath in the toilet with the overflow opening directed toward the front.
Determine the obstetric history of a client in her fifth pregnancy who had two spontaneous abortions in the first trimester, one infant at 32 weeks' gestation, and one infant at 38 weeks' gestation
a. G5 T1 P2 A2 L 2 b. G5 T1 P1 A1 L2 c. G5 T0 P2 A2 L2 d. G5 T1 P1 A2 L2
The nurse is listening to a 56-year-old client's apical heart rate before giving digoxin (Lanoxin) and notes that the heart rate is 48 beats/min. Which of the following would be an appropriate course of action taken by the nurse?
1. Withhold the digoxin, and reevaluate the heart rate in 4 hours. 2. Administer half the prescribed dose to avoid a further decrease in heart rate. 3. Withhold the digoxin; assess for signs of decreased cardiac output and digoxin toxicity. 4. Administer the digoxin; the heart rate would be considered normal because of the client's age.