The nurse is contributing to the plan of care for a patient with Paget's disease. Which outcome should the nurse identify as being appropriate for this patient?
a. Gain 5 lb weekly.
b. Intake equals output.
c. Identify coping skills.
d. Pain is relieved at a satisfactory level.
ANS: D
Pain control is a major issue with many patients with Paget's disease. The outcome stating that pain is relieved at a satisfactory level is the most appropriate for this patient. A. B. C. Outcomes that address weight gain, intake and output, and coping skills are not necessarily appropriate for this patient.
You might also like to view...
A client has suffered damage to his pericardium following a motor vehicle accident. Which consequence could be a possible complication of damaged pericardium that his care providers should assess for?
A) Impaired physical restraint of the left ventricle B) Increased friction during the contraction/relaxation cycle C) Reduced protection from infectious organisms D) Impaired regulation of myocardial contraction
Your patient states that he is sitting upright because he has difficulty breathing when lying down. You determine that the patient has
a. dyspnea. c. bradypnea. b. agonal respirations. d. orthopnea.
What type of immunity is produced when an immunoglobulin crosses the placenta?
a. Passive-acquired immunity b. Active-acquired immunity c. Passive-innate immunity d. Active-innate immunity
A patient in an outpatient oncology clinic is going to have a PICC line placed, and wants to know what that means. What is the best response by the nurse?
a. "A PICC line is a catheter that is inserted into your jugular vein and ends in the central circulation." b. "A PICC line is just a regular IV, but an extra-small catheter is used to prevent vein irritation." c. "A PICC line is a percutaneous intravenous core catheter." d. "A PICC line is an intravenous device that is inserted into your arm and ends in the circulation near your heart."