A client is undergoing radiation therapy and asks the nurse about skin care for the exposed area. Which statement by the nurse is most accurate?
a. "No products work well to reduce the skin reactions you get from radiation."
b. "No one product works best, so you can choose what you would like to use."
c. "The only medication that works well for skin reactions is very expensive."
d. "No good studies on skin care with radia-tion have been conducted to date."
B
A recent placebo-controlled study showed that none of three products used to manage radia-tion-related skin reactions was superior to the others. Researchers concluded that clients should use products that are easy to obtain and use and are within the client's budget. Simply stating that no one product works well does not give the client enough information to make an informed choice. Prescription medications for skin reactions can be expensive, but again this response does not help the client make a decision.
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Ten hours after the client with 50% burns is admitted, her blood glucose level is 90 mg/dL. What is the nurse's best action?
A. Notify the emergency team. B. Document the finding as the only action. C. Ask the client if anyone in her family has diabetes mellitus. D. Slow the intravenous infusion of dextrose 5% in Ringer's lactate.
During a routine physical, a 34-year-old patient who works two jobs and has a young child mentions that she gets about 5 hours of sleep most nights
A nurse could appropriately follow up by saying: 1. "That's very understandable, given everything that you need to do each day. I hope you are able to catch up on your sleep on your days off." 2. "Five hours of sleep is not quite enough, since most adults need at least 6 hours of sleep a night. Can you arrange your schedule so you can go to bed an hour earlier or get up an hour later?" 3. "That is concerning because not getting enough sleep increases your risk for accidents and can make it harder to make good decisions and maintain emotional stability. Can we talk about how you could get more sleep to ensure the safety of yourself and your child?" 4. "Most adults need about 8 hours of sleep a night. You should speak to your doctor about getting a prescription for a medication that will help you sleep."
The hepatitis B vaccination involves:
a. 1 injection b. 2 injections c. 3 injections d. 4 injections
The nurse will administer medication to a school-age child. What is the preferred action by the nurse?
1. Teach the child the action and expected side effects of the medication. 2. Tell the child he will not be allowed to go to recess if the medication is not taken. 3. Offer the child a choice of beverage with which to take the medication. 4. Offer to play with the child prior to medication administration.