A 14-year-old patient has hemophilia and is being discharged from the hospital following a bicycle accident in which he sustained bleeding into his joints. The nurse knows that a priority for follow-up care is to arrange an appointment with a:
A) counsellor.
B) social worker.
C) physical therapist.
D) home health nurse.
C
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The nurse is caring for a patient with a reactive purified protein derivative (PPD) test. What should the nurse anticipate as the next step of treatment?
A) Immediately begin administration of prophylactic medications to eradicate the disease. B) Immediately isolate the patient (for at least 1 week) to contain the disease. C) Perform more definitive testing to determine whether the patient has active disease. D) Explain to the patient that a positive PPD only indicates exposure to the disease and that he must be retested in 6 months.
A client has chosen to discontinue hemodialysis, but the client's family is not supportive of the decision. The nurse who uses the theory of principles-based reasoning would make which statement?
1. "This client is of sound mind and is capable of making independent decisions regarding health care. It really is the client's decision to make.". 2. "I need to try and help the family understand the client's decision so they can work through this situation together.". 3. "This client's health is so deteriorated that the treatment is not saving the client's life. It is prolonging the ultimate outcome, which is death.". 4. "The client understands the decision and the advanced stage of the disease. If the client quits treatment, the client will die.".
Which does the nurse include in client teaching about acid-base balance?
1. Carbonic acid forms from the byproducts of metabolic activity. 2. The respiratory system efficiently regulates acid-base balance. 3. Metabolic acidosis results from excess blood flow to the kidneys. 4. Taking odium bicarbonate decreases hydrogen ions in the blood.
When using a foam dressing, the nurse recognizes that:
A. No secondary dressing is required B. Either side may be applied facing the wound C. Some brands may need to be moistened before they are removed D. Discoloration of the foam is an indication of an infection