The nurse has provided discharge instructions to a patient who has metastatic lung cancer and stomatitis. The nurse would evaluate that understanding has occurred when the patient makes which statement?
1. "I probably should not brush my teeth or floss until the sores heal."
2. "I will rinse my mouth with full-strength peroxide every hour until the sores heal."
3. "I will clean my mouth before and after every meal."
4. "I will swab my mouth with mouthwash every 4 hours to reduce the sores."
3
Rationale 1: The patient should continue to brush and floss the teeth as tolerated.
Rationale 2: It is beneficial to rinse with normal saline, not peroxide.
Rationale 3: The patient should cleanse the mouth before and after each meal to remove residue.
Rationale 4: It would irritate the mouth sores to swab over them, especially if the swab contained an irritating solution such as mouthwash.
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An outpatient who has chronic heart failure returns to the clinic after 2 weeks of therapy with metoprolol (Toprol XL). Which assessment finding is most important for the nurse to report to the health care provider?
a. 2+ pedal edema b. Heart rate of 56 beats/minute c. Blood pressure (BP) of 88/42 mm Hg d. Complaints of fatigue
The nurse is caring for a laboring patient. A cervical exam indicates 8 cm dilation. The patient is restless, frequently changing position in an attempt to get comfortable. Which nursing action is most important?
1. Leave the patient alone so she can rest. 2. Ask the family to take a coffee-and-snack break. 3. Encourage the patient to have an epidural for pain. 4. Reassure the patient that she will not be left alone.
Client teaching for patients receiving beta blockers includes instructing the client:
a. to take the beta blocker when symptoms occur. b. to have blood pressure and pulse rate checked monthly or quarterly. c. that GI upset is a common problem and if it occurs to stop the drug. d. not to abruptly stop taking the beta blocker because of the possible occurrence of rebound hypertension.
An instructor recognizes that most of the students do not know how to correctly write a research paper. What approach would best help the students learn how to write a paper without cheating?
A) Require completion of an online tutorial program B) Require submission of summary and rough draft before the final paper C) Require use of plagiarism tool before submission D) Require each student to email the instructor describing his or her progress on the paper