Which nursing intervention would be most appropriate to assist in decreasing edema after surgical excision of an oral tumor?
A. Frequent suctioning of the mouth
B. Application of ice to the surgical wound
C. Elevating the head of the bed 30 degrees
D. Placing the client in a supine position, with the head slightly flexed
C
Elevating the head of the bed at least 30 degrees will help to reduce edema by using gravity. Care is taken to avoid activities that would incur mechanical damage to the suture line.
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The nurse believes that an order for a medication prescribed for a client has a dosage error. What should the nurse do?
a. Make a notation on the client's medication administration record. b. Ask another nurse if the order is correct. c. Withhold the drug and ask the physician. d. Administer the drug and question the physician later.
A patient is admitted to your unit with hepatomegaly secondary to hepatitis. When conducting patient education, the nurse should counsel the patient to
a. avoid alcohol and acetaminophen. b. have monthly liver enzymes drawn. c. measure the abdominal girth to monitor liver enlargement and report findings to the prescriber. d. discontinue use of all drugs metabolized in the liver.
A client with lung cancer refuses pain medications because he or she is "afraid of addiction." What is the nurse's best response?
a. "I can ask the physician to change your medication to a drug that is less potent." b. "I can use other measures such as music therapy to distract you." c. "It is unlikely you will become addicted from taking medicine for pain." d. "I can just give you aspirin or acetamino-phen (Tylenol) if you like."
A person is terminally ill. Her pain is severe. She blames the staff for her pain. She complains about having to wait for pain-relief drugs. She also says that the staff is rough when they turn and reposition her. What stage of dying is she in?
a. Denial b. Anger c. Bargaining d. Depression