What will H.K. be taught concerning the care of his cast?
What will be an ideal response?
• Keep it clean and dry.
• Do not put powders, especially those containing cornstarch, or lotions inside the cast. The
cornstarch provides food for bacterial growth, and lotions can macerate the skin.
• If it itches under the cast, do not insert objects between the cast and skin to scratch. If itching
occurs, it might help to use a hair dryer on the "cool" setting to blow air into the cast. Over-thecounter diphenhydramine (Benadryl), an antihistamine, might help, if not contraindicated.
• Immediately report numbness, tingling, burning, pallor, cyanosis, change in temperature,
tenderness, drainage, and worsening or severe pain.
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Operant conditioning will be used to encourage speech in a child who is nearly mute. Which
technique would the nurse include in the treatment plan? a. Spanking the child for silence b. Having the child observe others talking c. Giving the child a small candy for speaking d. Teaching the child relaxation techniques, then coaxing speech
The physician requires more information on the client's acid-base balance. The nurse anticipates the physician ordering which lab test to measure acid-base balance?
a. arterial blood gases (ABG) c. serum hydrogen level b. serum carbon-dioxide level d. serum oxygen level
A patient with irritable bowel syndrome asks the nurse, "Why did the doctor order something for depression?" How should the nurse respond?
1. "Didn't the doctor tell you that you are depressed?" 2. "Depression can be caused by irritable bowel syndrome." 3. "Did the doctor not give you an opportunity to ask questions?" 4. "These medications help with the symptoms associated with your bowel problem."
An older patient reports that sleep was being severely affected by the need to urinate frequently. The patient states he has begun restricting his fluid intake after 5 PM to help with the problem. The nurse responds
a. "Have you seen a decrease in waking up since you cut back on fluids?" b. "You need sufficient fluids, so don't be too restrictive." c. "You need the same amount over 24 hours, so drink enough by dinnertime." d. "Have you had your prostate checked by your health care provider?"