The client with cancer is about to have an implanted port placed for chemotherapy
She cries and tells the nurse that she is worried that she will not be able to swim or shower with this device, and that its presence will remind her daily that she has cancer. What is the nurse's best response? A. "The device is totally under the skin, so you can swim, shower, and bathe when the incision is healed."
B. "Having this device in place will prevent a lot of pain and save your veins in case you need more therapy later."
C. "Try not to worry. This device is temporary and will be removed as soon as your regimen of chemotherapy is over."
D. "If you carefully tape plastic wrap over the tubes and caps, you can still shower, although taking a tub bath and swimming are not permitted."
A
All parts of the implanted port catheter are surgically placed under the skin. When the surgical incision is healed, there is no continuous penetration site open to the skin surface, so the client can shower, and be in contact with water, without fear of contamination. When the catheter needs to be accessed, a special needle is placed through the skin into the port reservoir.
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A manic client is pacing the halls of the inpatient unit and making disruptive comments to the other clients
The nurse overhears the client say, "I know people, so you better treat me with respect!" Which of the following therapeutic nursing interventions would the nurse implement first? 1. Notify security that this client is escalating out of control and the client needs to be escorted to the client's room. 2. Tell the client that the nurse would like to give a PRN injection because the behavior is disrupting others. 3. Approach the client and say in firm voice, "That was inappropriate. Go to your room immediately." 4. Address the client and say in a calm voice, "The staff will work hard to make sure you receive proper respect here. Let's go over here and talk."
The healthcare provider prescribes misoprostol (Cytotec) for a female client for the treatment of peptic ulcer disease. What should the nurse ask the client prior to administration of this medication?
A) "Is there any chance that you are pregnant?" B) "Are you currently sexually active?" C) "Are your menstrual cycles irregular?" D) "Do you plan on becoming pregnant in the next few months?"
Chronic pain typically continues for:
a. Days b. Hours c. Minutes d. Months
What teaching needs will you review with R.M. with regard to her medication?
What will be an ideal response?