The nurse is caring for a patient who fell from a two-story building and was brought to the emergency department by ambulance. Initial findings include asymmetry of the thorax and paradoxical respirations
The nurse would document these findings as what?
A) Flail chest
B) Barrel chest
C) Scoliosis
D) Kyphosis
A
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The patient who had a colporrhaphy for the repair of a cystocele and rectocele asks that the catheter be removed as it is bothersome to her. How should the nurse explain the reason for the catheter?
a. It replaces uncomfortable gauze packing b. It will prevent adhesions and will be in place for about 2 weeks c. It allows for quick urine sample collection d. It keeps the bladder empty, and prevents stress on the sutures
A nurse is caring for a client who is diagnosed with skin cancer. Which nursing interventions will reduce the growth of cancer cells and support normal cell function?
Select all that apply. A) Encouraging mobility and exercise B) Encouraging increased rest and sleep C) Assessing normal functioning of organ systems D) Reducing oxygen supply to retard growth of cancer cells E) Increasing calorie intake
The nurse is preparing to teach a patient newly diagnosed with chlamydia trachomatis on the pathophysiology of the disease process. In which order should the nurse explain this process to the patient?
Choice 1. Organism enters a cell and changes into a reticulate body. Choice 2. Reticulate body divides within the cell. Choice 3. The cell bursts. Choice 4. Organism enters the body as an elementary body. Choice 5. The reticulate body infects the adjoining cells.
The nurse planning the care for an adolescent client experiencing the manic phase of bipolar disorder would include which of the following interventions to address hallucinations?
1. Discuss a homework assignment 2. Keep isolated in a quiet room 3. Encourage spending time with others 4. Explain that hallucinations are not real