A client is being admitted to a restorative care facility. The nurse realizes the goal of restorative care is to:
1. help the client die.
2. help the family cope.
3. regain an optimal level of functioning.
4. increase health care costs.
3
Restorative care includes follow-up care after surgery, home care, and rehabilitation. The need for restorative care may result from an acute illness episode, surgery, exacerbation of a chronic illness, or from a disability. Restorative care is not to help the client die, to help the family cope, or to increase health care costs.
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An x-ray of a patient admitted to the emergency room after a motor vehicle accident reveals rib fractures, and the patient has been diagnosed with a small flail chest injury. The nurse should include which intervention in the patient's plan of care?
A) Suction airway secretions B) Immobilize the ribs with an abdominal binder C) Prepare the patient for surgery D) Immediately sedate and intubate the patient
A nurse is unable to clear an obstruction in a client's feeding tube. Which of the following is most suitable if the nurse is unable to remove the obstruction?
A) Instill a large volume of very hot tap water. B) Remove the tube. C) Attempt to instill a crushed ASA tablet. D) Delay nutrition for 24 hours.
To palpate the supraclavicular lymph nodes, you should place your fingers over the patient's clavicles
a. lateral to the tendinous portion of the sternocleidomastoid muscle. b. lateral to the tendinous portion of the trapezius muscle. c. anterior to the tendinous portion of the sternocleidomastoid muscles. d. superior to the tendinous portion of the scalene muscles.
The nurse is providing care to a client who is on strict intake and output. The client drank 12 ounces of orange juice at breakfast. How many mL will the nurse document for this meal as intake?
1. 160 mL 2. 260 mL 3. 360 mL 4. 460 mL