The nurse provides discharge patient teaching for a patient with an external skeletal fixation device on a leg fracture. What does the nurse include in patient teaching?

a. Increase your intake of vitamins and red meat to heal the bone more quickly.
b. Notify the healthcare provider if there is a change in the color of the pin site drai-nage.
c. Cleanse the pin site once in the morning and before bed with mild soap and water.
d. Increase the speed at which you ambulate around the house to prepare for increased physical activity.


B
Any change in drainage from the pin site needs to be reported to the healthcare provider since it could indicate an infection. Vitamins and red meat help provide good nutrition, but more than that is needed for proper bone healing. Soap and water are not used to cleanse the pin site; only prescribed solution applied with sterile applicators is used. As long as the patient is steady when ambulating and ambulates regularly, the speed at which he or she moves is irrelevant. Sufficient activity prevents complications caused by immobility.

Nursing

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The OASIS document includes

A. Consent form for IV therapy. B. Homebound status. C. Advanced Directive document. D. Client Bill of Rights document.

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A psychotic patient is admitted through the emergency department. The physician has ordered chlorpromazine (Thorazine) 25 mg intramuscularly. After administration of the medication, what is the nurse's priority to evaluate?

A) The patient's ability to ambulate B) Return of the patient's appetite C) A decrease in psychotic symptoms D) Blood pressure and pulse

Nursing

One intervention that has been shown to be effective in improving the health status of a population is:

a. Decreasing the number of people who need outside resources b. Increasing in the number of children who can attend school c. Increasing the monetary resources that can be used to treat disease and illness d. Improving the ability to pay debt to more developed countries

Nursing

The nurse is establishing criteria for a medical or healthcare home for children. What should the nurse include when planning this approach to care? Select all that apply

1. Providers partner with the family. 2. Children are known by the provider. 3. Home visits are made when necessary. 4. Specialty care can be accessed if necessary. 5. Communication with family occurs routinely.

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