The nurse is reinforcing teaching with the caregivers of a child who has had a cast on the arm removed after the cast has been in place for six weeks. Which statement indicates that teaching has been effective?
A) "As soon as we get home I will scrub his arm really well to remove the loose skin."
B) "He loves to play outside now that the weather is nice; I will have to remind him to use sunscreen."
C) "We will be careful to not let him put his little sister's baby oil on his arm for a few weeks."
D) "I usually let him take a tub bath, but we will keep him out of warm water for a couple of days."
Ans: B
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The nurse is caring for a client diagnosed with ductal carcinoma and lymph node involvement. Which diagnostic test, ordered by the physician, does the nurse identify as assessing possible metastasis?
A) A complete blood count B) A chest x-ray C) A multiple gated acquisition (MUGA) scan D) A bone density test
The nurse is gathering client data from secondary sources. Which of the following sources would the nurse utilize to collect this data? Standard Text: Select all that apply
1. The client's past medical records 2. The client 3. The history and physical 4. The client's physical therapist 5. The client's spouse
Which of the following are the most accurate assessment parameters for the nurse to use to determine adequate tissue perfusion in the patient with multiple organ dysfunction syndrome?
1. pulse pressure, level of consciousness, and pupillary response 2. breath sounds, blood pressure, and body temperature 3. blood pressure, pulse, and respirations 4. level of consciousness, urine output, and skin color and temperature
A nurse discusses recent changes with a 74-year-old client. The client is distraught stating, "I forgot an important appointment; and I lost my wallet!" The older adult has always cherished being intelligent, alert, and informed,
so even minor lapses in cognition are a source of stress. How should the nurse best interpret these recent deficits in memory? A) The older adult is likely experiencing the early stages of Alzheimer disease. B) The older adult is likely experiencing a temporary state of delirium that will self-resolve. C) The older adult may be experiencing age-related changes in personality. D) The older adult may be experiencing mild cognitive impairment.