A patient recovering from a stroke at home seems to have a pleasant environment. Family members come in to talk with him, and he has his own familiar clothing and books in his room. A calendar shows the current date
A television and a radio are near his bed. No one disturbs him with the details of his condition. However, he seems depressed and anxious. A visiting nurse would most likely recommend which of the following? A) Encouraging reminiscence.
B) Giving him antidepressant drugs.
C) Redecorating his room.
D) Giving him more information.
D
Feedback:
The environment should be simplified, consistent, and soothing. The patient needs to know the state of his health and what is being done to him.
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After a breast examination, the nurse is documenting assessment findings that indicate possible breast cancer. Which abnormal findings need to be included as part of the client's electronic medical record? (Select all that apply.)
a. Peau d'orange b. Dense breast tissue c. Nipple retraction d. Mobile mass at two o'clock e. Nontender axillary nodes
Your patient complains of severe right lower quadrant abdominal pain. To assess the patient for peritoneal inflammation, the examiner should:
A. Percuss the right lower quadrant of the abdomen B. Deeply palpate the right lower quadrant of the abdomen C. Auscultate the right lower quadrant for hyperactive bowel sounds D. Strike the plantar surface of the patient's heel while the patient is supine
A client returning to the floor after orthopedic surgery is complaining of nausea. The nurse is aware that an appropriate intervention is to do which of the following?
A) Avoid strong smelling foods. B) Provide clear liquids with a straw. C) Avoid oral hygiene until the nausea subsides. D) Hold all medications.
A child who has just had definitive repair of a high rectal malformation is to be discharged. Which should the nurse address in the discharge preparation of this family? (Select all that apply.)
a. Perineal and wound care b. Necessity of firm stools to keep suture line clean c. Bowel training beginning as soon as child returns home d. Reporting any changes in stooling patterns to practitioner e. Use of diet modification to prevent constipation