The nurse is discussing wound healing with a group of preoperative clients. Factors that inhibit wound healing include: Standard Text: Select all that apply
1. Regular exercise.
2. Smoking.
3. Obesity.
4. Aspirin.
5. Daily orange juice consumption.
2,3,4
Rationale: Regular exercise tends to promote good circulation, and is more likely to heal wounds quickly.
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The nurse is teaching the student nurse the physiology involved in pain transmission. Which of the following statements accurately describes a physiologic event in the nervous system related to pain transmission? Select all answers that apply
A) Thermal stimulation may involve the release of mediators, such as histamine, prostaglandins, leukotrienes, or bradykinin. B) When nociceptors are activated by noxious stimuli, the stimuli are converted to electrical impulses that are relayed to the spinal cord and brain. C) Myelinated A-delta fibers are large fibers that conduct the impulse at very rapid rates; unmyelinated small C fibers transmit the impulse slowly. D) Once in the dorsal horn of the spinal cord, the nerve fibers divide and then cross to the opposite side and rise upward to the thalamus. E) The point at which the person first feels the highest intensity of the painful stimulus is termed the pain threshold. F) Peripheral sensitization allows the nerve fibers to react to a stimulus that is of lower intensity than would be needed to cause pain.
During discharge teaching of a pulmonary emphysema patient who is going home with oxygen, what does the nurse emphasize?
a. "Use the oxygen only when you experience shortness of breath." b. "Use the maximum amount of oxygen that this unit will deliver." c. "Use the oxygen only when exercising." d. "Keep low flow oxygen at 1 to 2 L by nasal cannula."
As the nurse plans to instruct a chronically ill older adult about the changes needed to maintain his health, what statement is most appropriate to consider in establishing goals for behavior change?
a. Management of the client's chronic disease rests on the client and caregiver; goals should be set in collaboration. b. The client will be able to make needed changes in his life if the nurse provides accurate written instructions. c. Psychological functioning is usually impaired only to a small extent in a client with chronic illness. d. The client's values, culture, and beliefs have little to do with the types of changes he will be able to make.
The client receives multiple drugs for treatment of tuberculosis. The nurse teaches the client the rationale for multiple drug treatment and evaluates learning as effective when the client makes which statement?
1. "Treatment for tuberculosis is complex, and multiple drugs must be continued for as long as I am contagious.". 2. "Multiple drugs are necessary because the bacteria are likely to develop resistance to just one drug.". 3. "Multiple drug treatment is necessary for me to be able to develop immunity to tuberculosis.". 4. "Current research indicates that the most effective way to treat tuberculosis is with multiple drugs.".