Important discharge instructions for the client with a cervical disk problem being discharged with a cervical collar include
a. ambulate carefully to avoid falls.
b. perform active range-of-motion exercises four times daily.
c. release the Velcro strap every 2 hours while awake.
d. wash the collar with mild soap and water daily.
A
Safety awareness is important to prevent falls in the client who is wearing a cervical collar be-cause s/he cannot look down at the feet. This vision limitation is a safety concern. The other three options are not recommended for this client.
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After teaching a class on urban health to a group of community health nursing students, the instructor determines that the teaching was successful when the students describe it as which of the following?
A) Providing care to individuals living in ghettos B) Addressing the needs of immigrants living in large cities C) Considering effects of environment on the health of people living in large cities D) Ensuring the appropriate planning of attractive and equitable places
The nurse notes persistent early decelerations on the fetal monitoring strip. Which of the following would the nurse do next?
A) Continue to monitor the FHR because this pattern is benign. B) Perform a vaginal exam to assess cervical dilation and effacement. C) Stay with the client while reporting the finding to the physician. D) Administer oxygen after turning the client on her left side.
A client is seen in the public health clinic for symptoms of hepatitis. The nurse is questioning the client regarding exposure
The client provides the following information: a recent missionary trip to Africa; involved in a monogamous heterosexual relationship for 25 years; no history of IV drug use; blood transfusions 5 years ago. What is the most likely type of hepatitis for this client? 1. Hepatitis A 2. Hepatitis B 3. Hepatitis C 4. Hepatitis G
A 13-year-old, 40-pound girl is experiencing an acute asthma attack that has been unresponsive to 3 puffs of her albuterol inhaler. She is conscious and alert, but is notably dyspneic and has diffuse wheezing. In addition to administering supplemental oxygen, you should:
A) give 0.35 mg of epinephrine 1:1,000 SQ. B) give 0.5 mg of nebulized ipratropium. C) administer another 2.5-mg dose of albuterol. D) assist her ventilations with a bag-mask device.