The nurse counsels a patient with poison ivy to decrease his discomfort by:
a. bathing in warm water.
b. maintaining an environment of 80° to 85° F.
c. scrubbing skin to break the vesicles.
d. patting skin dry.
D
Patting the skin dry will decrease irritation and will not break vesicles. The patient should bathe in tepid water and avoid getting hot as heat exacerbates the itching.
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A patient has been diagnosed with a malignancy of the head and neck. The prognosis is poor. The patient asks the nurse why the physician said that they had a poor prognosis. What would be the nurse's best response?
A) Surgery on these tumors is not very successful. B) Surgery on these tumors is very successful. C) The cancer is regional but we can try radiation therapy. D) The cancer has metastasized and these tumors respond poorly to chemotherapy.
The nurse, caring for a patient with a large abdominal wound, suspects the patient has necrotizing fasciitis because of which of the following clinical findings?
1. multiple blisters that have a grey-colored foul smelling exudate 2. wound is red and edematous 3. wound is warm and the patient has an elevated temperature 4. patient is complaining of thirst and is becoming agitated
Factors that affect gastric drug absorption include:
1. Liver enzyme activity 2. Protein-binding properties of the drug molecule 3. Lipid solubility of the drug 4. Ability to chew and swallow
A nurse is planning care for a family whose loved one has received a diagnosis of dementia. The family must now make decisions about the loved one's care. Which is an appropriate nursing intervention?
A) Provide knowledge about the disease and the skills necessary to manage it. B) Encourage open discussion among family members about any unresolved issues or resentments they may have with the afflicted family member. C) Determine the combined financial resources of family members who will underwrite the cost of the care. D) Encourage placement of the family member with the caregiver who can best manage the client.