The nurse is teaching a client who is being discharged after stem cell transplantation. Which instruction does the nurse include in this client's discharge teaching?
a. Eat a diet high in fruits and vegetables.
b. Ask your provider to administer a rubella vaccination.
c. Wash your hands frequently.
d. Participate in physical therapy every day.
C
Protecting the client from infection at home is just as important as it was during hospitalization for a client who has had stem cell transplantation. Hand hygiene is the best protection against infection. Salads, raw fruits, and live vaccinations (such as rubella) are contraindicated in a client who has a risk for infection. Energy management is important; therefore activities such as phys-ical therapy may need to be postponed.
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The nurse is conducting an interview with a client at the hospital. The client has a roommate in the room. Where would the optimal place for this interview to take place?
A) In the waiting area B) In the client's room C) In a private treatment room D) At the nurse's station
Signs and symptoms of an anastomotic leak include
a. pneumonia. b. subcutaneous emphysema. c. bleeding. d. atelectasis.
The client sustains a minor leg abrasion and stops breathing for a few seconds during a grand mal seizure. Which is the best nursing documentation after the client's seizure?
1. Type of muscle contractions 2. Size and description of abrasion 3. Length of client's apneic episode 4. Description of the seizure in detail
The nurse is caring for a client who is recovering from abdominal surgery. Which goal should the nurse include in this client's plan of care?
A. The nurse will observe fewer signs of pain in the client's every 1 hour. B. The client will verbalize pain relief using an intensity rating in 1 hour. C. The nurse will re-evaluate the client's pain level every 1 hour. D. The client will state that they feel fine in 1 hour.