Which of these nursing interventions for the patient who has had right-sided breast-conservation surgery and axillary lymph node dissection is appropriate to assign to an LPN/LVN?
a. Teaching the patient how to avoid injury to the right arm
b. Administering an analgesic 30 minutes before the scheduled arm exercises
c. Assessing the patient's range of motion for the right arm
d. Evaluating the patient's understanding of discharge instructions about drain care
ANS: B
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The nurse is assessing two adults who are learning to live together, have children, and hold a job. For which type of family should the nurse plan interventions?
1. Family with older adults 2. Family with school-age children 3. A couple 4. Family with infants or preschoolers
A client is able to breathe more easily in an upright position. How should the nurse document this finding?
1. Orthopnea 2. Dyspnea 3. Eupnea 4. Apnea
Clients with eating disorders frequently use methods to avoid eating or to prevent weight gain. Which documentation most accurately describes the behavior of a client with an eating disorder?
A) Client observed to move food around the plate arranged in various patterns. B) Client stares frequently into space and has to be prompted to participate in the mealtime conversation. C) Client talks about her food likes and dislikes and reminisces about holiday foods. D) Client states that she is depressed and does not feel like eating right now.
The nurse explains that the urge to void occurs when the bladder contain as little as ______ mL of urine
Fill in the blank(s) with correct word