An older patient's wife is very upset because "my husband was just told that he had prostate cancer. he feels fine now, but the doctor told him to watch and wait. Why are we just watching? What are we waiting for?" What is the nurse's best response?
A. Prostate cancer is slow-growing. Your husband needs regular DRE and PSA testing and here is a list of symptoms to watch for."
B. "This is very upsetting news. Let's sit down and talk about how you feel and then I will have the doctor talk to you again.:
C. "It is okay , don't be upset. This is very common was to handle prostate cancer for men who are your husband's age."
D. "I can get you some information about prostate cancer. This will help you understand why the doctor said this to your husband."
Answer: A. Prostate cancer is slow-growing. Your husband needs regular DRE and PSA testing and here is a list of symptoms to watch for."
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An older client recovering from a total hip replacement is demonstrating edema and pain in the operative limb. Which intervention does the nurse perform first?
1. Assess the client's lower extremity pulses. 2. Situate the client comfortably with pillows. 3. Evaluate the client's respiratory status. 4. Determine if anticoagulant medication is prescribed.
The nurse is caring for a client with a continuous local anesthetic. Which of the following interventions will the nurse perform?
1. Assess for pain every 2–4 hours while the client is awake. 2. Change dressing every 2–4 hours. 3. Check the dressing every shift. 4. Assess for signs of toxicity. 5. Check the site of the catheter.
The nurse is caring for a patient diagnosed with borderline personality disorder who cut both forearms after learning that the psychiatrist was going on vacation. While changing the dressing daily, it would be advisable for the nurse to:
a. express sympathy and concern. b. maintain a matter-of-fact attitude. c. encourage discussion of the self-mutilation. d. reassure the patient by stating, "I will not abandon you.".
In light of the high incidence of nosocomial methacillin-resistant staphylococcus aureus (MRSA), there is an apparent need for improvements in infection-control practice at a county hospital
Which of the following goals should be established for a proposed evidence-based change in practice? A) "The incidence of nosocomial MRSA will decrease significantly within the next 60 days." B) "New cases of MRSA colonization will go down by 15% between now and 90 days from now." C) "Within the next 3 months, nosocomial MRSA colonization will be eliminated in our hospital." D) "MRSA will decrease by a minimum of 10%."