A client who has had a full-thickness burn is being discharged from the hospital. Which information is most important for the nurse to provide before discharge?
a. How to maintain home smoke detectors
b. Joining a community reintegration pro-gram
c. Learning to perform dressing changes
d. Options available for scar removal
C
Critical for the goal of progression toward independence for the client is teaching clients and family members to perform care tasks such as dressing changes. All of the other options are im-portant in the rehabilitation stage. However, dressing changes have priority.
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A male patient has just been diagnosed with esophageal cancer. He knew that he was losing weight and fatigued most days, but he just attributed it to aging and working. The physician recommends chemotherapy and irradiation
However, the cancer has already metastasized. The patient asks the nurse what he can expect if he agrees to the treatments. The nurse responds, A) "The therapies may shrink the cancer." B) "The doctor is prescribing treatment measures to help you swallow better." C) "These therapies will most likely cure your cancer." D) "You need to talk with your physician some more. I will page him for you."
A patient is showing the nurse some changes in his skin that he found while taking a shower. Which of the following lesions would give the nurse concern that it might be a precancerous lesion?
Select all that apply. A) Soft, flesh-colored papule located on the neck and "armpit." B) Wart-like, tan-brown lesion that is sharply outlined and a few centimeters in diameter. C) Several dry, brown, scaly lesions that are approximately 1 cm in diameter, and a few of the lesions are showing some ulceration. D) Tan to brown lesions commonly called "liver spots" are located on the forearm and hands. E) Red-colored mark close to the skin surface located on the face.
The nurse is admitting a patient with vaginal cancer. Which of the following questions should the nurse ask to elicit the most likely causative factor?
a. "Have you been treated for infertility?" b. "Did you experience your first menses before the age of 11 years?" c. "Have you ever taken tamoxifen?" d. "Did your mother take diethylstilbestrol (DES) during pregnancy?"
Three servings of milk, yogurt, or cheese plus two servings of meat, poultry, or fish will adequately supply the recommended amount of protein for the pregnant woman
Many patients are concerned about the increased levels of mercury in fish and may be afraid to include this source of nutrients in their diet. Sound advice by the nurse to assist the patient in determining which fish is safe to consume includes a. Canned white tuna as a preferred choice b. Avoiding shark, swordfish, and mackerel c. Treating fish caught in local waterways as the safest d. Avoiding high levels of mercury in salmon and shrimp