A 50-year-old client with breast cancer has had a double mastectomy. Which factor would influence this client's susceptibility to an infection?
A) Bronchovesicular breath sounds
B) Dry skin
C) Intact mucous membranes
D) Susceptibility of the client
D
Feedback:
How susceptible the client is for an infection is one of the factors that influence microorganism growth. This client is 50 years of age and has a surgical incision, so the first line of defense—the skin—is not intact. Bronchovesicular breath sounds, dry skin, and intact mucous membranes are factors that help defend the body against infection.
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The nurse is caring for a client with lung cancer who states, "I don't want any pain medication because I am afraid I'll become addicted." How should the nurse respond?
a. "I will ask the provider to change your medication to a drug that is less potent." b. "Would you like me to use music therapy to distract you from your pain?" c. "It is unlikely you will become addicted when taking medicine for pain." d. "Would you like me to give you acetaminophen (Tylenol) instead?"
A nurse teaches a female client who has stress incontinence. Which statements should the nurse include about pelvic muscle exercises? (Select all that apply.)
a. "When you start and stop your urine stream, you are using your pelvic muscles." b. "Tighten your pelvic muscles for a slow count of 10 and then relax for a slow count of 10." c. "Pelvic muscle exercises should only be performed sitting upright with your feet on the floor." d. "After you have been doing these exercises for a couple days, your control of urine will improve." e. "Like any other muscle in your body, you can make your pelvic muscles stronger by contracting them."
The nurse receives an order to administer glycopyrrolate 0.002 mg/kg to the pediatric patient preoperatively. The patient weighs 14 lbs. If 1 pound = 2.2 kg, how many kilograms would the nurse administer to this patient?
A) 0.013 mg B) 0.13 mg C) 0.028 mg D) 0.28 mg
Perioperative nurses do not need to label a syringe on the sterile field when they prepare the syringe with medication and hand it directly to the surgeon
Indicate whether this statement is true or false.