The nurse is aware that which client would best be able to handle a three-point gait using crutches?
A. A 76-year-old client who complains of pain in both knees.
B. A 25-year-old client with a broken right ankle.
C. A 19-year-old client with a broken right tibia and a sprained left foot.
D. A 55-year-old client with a fractured left patella and a right foot laceration.
Answer: B
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A patient is in the acute phase of a burn injury. One of the nursing diagnoses in the plan of care is Ineffective Coping Related to Trauma of Burn Injury. What interventions appropriately address this diagnosis? Select all that apply
A) Promote truthful communication. B) Avoid asking the patient to make decisions. C) Teach the patient coping strategies. D) Administer benzodiazepines as ordered. E) Provide positive reinforcement.
The nurse is teaching the mother of a 5-year-old boy with a history of impaction how to administer enemas at home. Which of the following responses from the mother indicates a need for further teaching?
A) "I should position him on his abdomen with knees bent.". B) "He will require 250 to 500 mL of enema solution.". C) "I should wash my hands and then wear gloves.". D) "He should retain the solution for 5 to 10 minutes.".
The nurse is preparing the body of a client who was killed in a car accident for the family to view. Which step would be contraindicated?
A) Removal of all IVs and other medical tubing. B) Clean, position, and cover the client with a sheet, exposing only the head and a hand. C) Inform the family that they can have as much time alone with the client as they wish. D) Respect all religious and cultural practices of the family.
M.E.'s son asks whether medications can help her AD. How would you respond?
What will be an ideal response?