A patient, status post resection of renal tumor, is being discharged home. You are planning discharge for this patient. What would you include in a teaching plan for this patient?
A) Emotional support
B) Need for dialysis
C) Recurrence of cancer
D) Continuing care
Ans: D
Feedback: Education and emotional support are provided related to the diagnosis, treatment, and continuing care because many patients are concerned about the loss of the other kidney, the possible need for dialysis, or the recurrence of cancer. You would not include in a teaching plan information about the need for dialysis or the recurrence of cancer. You would give emotional support, not teach about it.
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A patient is admitted to the cardiac unit with a diagnosis of a myocardial infarction (MI). The nurse notes that the patient is having regular premature ventricular contractions (PVCs). Why would the nurse be concerned?
A) Blood is not efficiently pumped from the heart with PVCs. B) Healing of the myocardium will be disrupted. C) PVCs usually cause severe pain. D) PVCs make it difficult to make a definitive diagnosis.
A client whose child was diagnosed with a sexually transmitted illness (STI) shouted at the nurse, saying it was impossible for children to have STIs. The nurse's response is based on her knowledge that:
1. laboratory samples are sometimes contaminated. 2. children can be infected at birth or through sexual abuse. 3. sexually transmitted diseases can be spread only through sexual contact. 4. organisms can be contacted from public bathrooms.
The parent of a newborn infant calls the pediatrician's office to report that the baby wakes up every 2 hours and only takes about 2 ounces of formula before going back to sleep. What instruction should the nurse give this parent?
A) Offer the baby less formula to prevent waste. B) Continue to feed the baby with this "on demand" schedule. C) Make the baby wait at least 3 hours between feedings. D) When the baby gets sleepy during feeding, use techniques such as moving around and tickling to encourage wakefulness.
The parents of a preterm newborn wish to visit their baby in the NICU. A statement by the nurse that would not support the parents as they visit their newborn is which of the following?
1. "Your newborn likes to be touched." 2. "Stroking the newborn will help with stimulation." 3. "Visits must be scheduled between feedings." 4. "Your baby loves her pink blanket."