Before applying moist heat or cold applications, you need to:
a. Measure water temperature
b. Measure water depth
c. Measure and record the amount of water as intake
d. Show the person how to change the tem-perature
A
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A patient who undergoes hemodialysis three times weekly is on a fluid restriction of 1000 mL/day
The nurse sees the patient drinking a 355-mL (12 ounce) soft drink after the patient has already reached the maximum intake of fluid for the day. What action should the nurse take? A) Take the soft drink away from the patient and inform the dialysis nurse to remove extra fluid from the patient during the next dialysis treatment B) Document the patient's behavior as noncompliant and notify the physician C) Further restrict the patient's fluid for the following day and communicate this information to the charge nurse D) Reinforce the importance of the fluid restriction and document the teaching and the intake of extra fluid
The nurse has taught a group of parents how to care for their children who have had tympanos-tomy tubes inserted. The nurse will know parents understand how to care for their child's tym-panostomy tubes if they: (Select all that apply.)
1. Encourage the child to drink generous amounts of fluids. 2. Administer a decongestant for 1–2 weeks following surgery. 3. Restrict the child to quiet activities after surgery. 4. Limit the child's diet to soft, bland foods. 5. Avoid getting excessive water in the ears during bath time.
A patient who was treated for colorectal cancer last year now has a malignant tumor in the lung. The nurse realizes that this patient is most likely experiencing which phenomenon?
1. Metastasis 2. Contact inhibition 3. Differentiation 4. Hypertrophy
The nurse examines the client's legs in bed. The nurse asks the client to extend both legs on the bed and the nurse grasps one leg at the ankle and moves it away from the midline and returns
These movements demonstrate range of motion of the hip joint. What is the best terminology that describes movement away from the midline that the nurse should include in the electronic medication record? A) Abduction B) Adduction C) Dorsiflexion D) Plantar flexion