A nurse is caring for a client who has undergone a spinal fusion. What specific postoperative instructions should the nurse give this client?
A. "You may lift items up to 10 pounds."
B. "Wear your brace when you are out of bed."
C. "You must remain on bedrest for 48 hours after surgery."
D. "You will need to take steroids to prevent rejection of the bone graft."
B
Clients who undergo spinal fusion are fitted with a brace that they need to wear throughout the healing process (usually 3 to 6 months) whenever they are out of bed.
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The nursing class is studying monoclonal antibodies. What monoclonal antibody reacts to human T cells, disabling them and acting as an immune suppressor?
A) Adalimumab B) Cetuximab C) Rituximab D) Muromonab-CD3
While interviewing a patient, the nurse asks the number of steps the patient takes before leg pain occurs. Which therapeutic communication technique is the nurse using?
A) Graded response B) Continuers C) Reflection D) Empowerment
To prepare a woman for a contraction stress test using nipple stimulation, an appropriate instruction would be to:
a. Massage both breasts simultaneously. b. Roll the nipple between the thumb and fingers. c. Continually stimulate the breasts throughout the test. d. Brush your palm across the nipple of one breast for 2 to 3 minutes.
The nurse is caring for a patient who has an order to change a dressing twice a day, at 0600 and 1800. At 1400, the nurse notices that the dressing is saturated and leaking. What is the nurse's next action?
a. Wait and change the dressing at 1800 as ordered. b. Revise the plan of care and change the dressing now. c. Reassess the dressing and the wound in 2 hours. d. Discontinue the plan of care for wound care.