The nurse evaluates the client's ability to self-administer subcutaneous enoxaparin (Lovenox). What should the nurse address with follow-up client teaching?
1. Inject at a 45-degree angle.
2. Massage area after injection.
3. Administer without aspirating.
4. Inject 3 inches from umbilicus.
2
2. The nurse wants the client to avoid massaging the injection site after administering enoxaparin (Lovenox) to prevent the formation of large hematomas and to decrease the risk of additional bleeding and tissue damage. The nurse instructs the client to inject the enoxaparin and to withdraw the needle without massaging the site after-ward. If the client massages the area to dispel pain or discomfort, the client reports this to the nurse or provider because it is an unusual finding.
1, 3, and 4. The client demonstrates good injection technique with injections at 45 degrees, avoiding aspiration, and injecting at least 2 inches away from the umbilicus.
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A nurse was assigned to create and implement a community education program with the goal of preventing diabetes among the Hispanic population
As the nurse did not speak Spanish and was just beginning to be comfortable with the neighborhood Hispanic culture, which of the following would be the best approach for the nurse to take? a. Be sure to use appropriate images in the handouts. b. Copy literature and procedures found successful in other Hispanic communities. c. Tell the supervisor the nurse is not competent for this task. d. Try to find Hispanic volunteers who may be able to do the actual teaching.
A client with depression has not been attending group therapy sessions but has been able to meet with visitors, eat meals, and watch television. He states, "I have a brain illness—a chemical imbalance. I have no control over my behavior
I'll just have to wait until the medications kick in." Which is the appropriate nursing response to this client's comments? A) "In addition to biological factors, a complex interplay of environmental and interpersonal events contributes to the onset and maintenance of depression." B) "Given this is the 'decade of the brain,' you are correct in saying that biological factors cause depression." C) "Biological factors have been shown to exert the most influence in the development of mental illness." D) "Researchers have been unable to adequately demonstrate the link between nature (biology and genetics) and nurture (environment)."
Which of the following are common with Parkinson's disease?
a. Hemiplegia or quadriplegia b. Skin rashes c. Slow movement and mask-like expression d. Improved posture and balance
The nurse is developing a teaching plan for parents who need genetic counseling. Which statement by a parent indicates the need for further education?
1. "All the chromosomes are the same size in males and females alike." 2. "Half of the sets of chromosomes come from the mother and the other half comes from the father." 3. "The 23rd pair of chromosomes will determine if our child will be male or female." 4. "One Y chromosome and one X sex chromosome will produce a male child."