A client who had a wrist cast applied 3 days ago calls from home, reporting that the cast is loose enough to slide off. How does the nurse respond?
a. "Keep your arm above the level of your heart."
b. "As your muscles atrophy, the cast is ex-pected to loosen."
c. "Wrap an elastic bandage around the cast to prevent it from slipping."
d. "You need a new cast now that the swel-ling is decreased."
D
Often the surrounding soft tissues may be swollen considerably when the cast is initially applied. After the swelling has resolved, if the cast is loose enough to permit two or more fingers between the cast and the client's skin, the cast needs to be replaced. Elevating the arm will not solve the problem, and the client's muscles should not atrophy while in a cast for 6 weeks or less. An elas-tic bandage will not prevent slippage of the cast.
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Which of the following statements about sexual abuse of children are true? (Select all that apply)
A. The abuser is most often someone the child knows and trusts. B. The nurse must confront the abuse victim to make him or her admit to the abuse. C. Abused children often act out the abuse in their own play behaviors. D. The abused child is confused about whether the acts are right, but believes the abuser would not do anything wrong. E. Because children are resilient, they tend to get over acts of sexual abuse fairly easily with minimal intervention. F. One thing the nurse must do is reinforce that the child is not to blame for the abuse.
The nurse is caring for a client who has undergone a hypophysectomy. Which is the nurse's priority postoperative intervention?
a. Keep the head of the bed flat and the client supine. b. Instruct the client to cough, turn, and deep breathe hourly. c. Report clear or yellow drainage from the nose or incision site. d. Apply petroleum jelly to the client's lips to avoid mouth dryness.
A patient given atropine (atropine sulfate) intravenously as a one-time dose for bradycardia now reports a very dry mouth. What is your best response?
a. Notify the prescriber immediately. b. Document the report as the only action. c. Reassure the patient that this is a normal drug response. d. Offer the patient the opportunity to brush his or her teeth and rinse the mouth.
The nurse is preparing to administer two intravenous medications that should not be given using the same IV tubing. The nurse understands that this is because of drug
a. adverse reactions. b. incompatibility. c. interactions. d. potentiation.