Which nursing intervention would be included in the care of a client who has hyperparathyroidism?
a. Encourage the client to alternate rest and activity periods.
b. Place the client in a room with reverse ventilation.
c. Encourage the client to increase ambulation each day.
d. Encourage the family to seek hospice care for the client.
A
Nursing interventions for a client with hyperparathyroidism should include encouraging the client to alternate rest and activity periods to decrease the metabolic demands on the body.
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A nurse performs a skin screening for a client who has numerous skin lesions. Which lesion does the nurse evaluate first?
a. Beige freckles on the backs of both hands b. Irregular blue mole with white specks on the lower leg c. Large cluster of pustules in the right axilla d. Thick, reddened papules covered by white scales
An older patient, experiencing a significant loss of hearing after being involved in an explosion, wants to know how long the loss will last. Which response by the nurse is most appropriate at this time?
1. "Surgery will help restore the hearing you have lost." 2. "Hearing loss attributed to loud noises is normally reversible." 3. "Loud noises can cause immediate, permanent losses of hearing." 4. "The most common cause of hearing impairments is the result of exposure to loud noises."
A client's chest tube is accidentally dislodged. What action by the nurse is best?
a. No action is necessary because the area will reseal itself. b. Cover the insertion site with a sterile gauze and tape three sides. c. Obtain a suture kit and prepare for the physician to suture the site. d. Cover the area with an occlusive dressing.
Kali has prepared the discharge teaching for a 3 year old after a repair to the Achilles tendon due to clubfoot. Kali knows that the parents understand the teaching when they say which of the following statements:
1. "We will need to make sure to keep the regime set out for us, otherwise her feet could go back to the same position.". 2. "We will need to watch to make sure she is walking on her tiptoes.". 3. "It will be important for us to use the angle-foot orthotics as prescribed.". 4. "We will want her to walk on the lateral border of her shoes.".