A client is scheduled for a penectomy for penile cancer. Which action by the nurse is most important?
a. Teaching the client to sit when he urinates
b. Demonstrating dressing changes and wound cleaning
c. Assessing the client's psychosocial status and support
d. Explaining the purpose of the in-dwelling catheter
C
Clients may have strong emotional responses to penectomy, even when they seem to be accepting of the surgery, and the risk for suicide is present. It is critical to assess the client's emotional status and support systems before the operation is performed (and afterward). The other actions are appropriate too but do not take priority over ensuring the client's safety.
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An involuntarily committed client when offered a dinner tray pushes it off the bedside table onto the floor. Which nursing intervention should a nurse implement to address this behavior?
1. Initiate forced medication protocol. 2. Help the client to explore the source of anger. 3. Ignore the act to avoid reinforcing the behavior. 4. With staff support and a show of solidarity, set firm limits on the behavior.
What is a therapeutic treatment that joins the mind and body and increases muscle tone and flexibility?
a. Acupressure b. Spiritual enrichment c. Yoga therapy d. Therapeutic massage
The disease that is on the increase because of the growing obesity population and is associated with coronary artery disease and use of corticosteroids is_______________
ANS:
A team approach is the best approach to discharge planning for a patient who has had gastric surgery. What is helpful to the patient and family to reinforce discharge teaching?
A) Home health nurse re-teaching material in patient's home B) Scheduled visits from speech therapist C) Scheduled phone calls from social worker D) Video instructions about meals and activities