A resident is confused. The person usually naps after lunch. You should:
a. Follow the person's routine
b. Prevent the person from taking a nap
c. Help the person change into sleepwear
d. Use music and other activities to distract the person
A
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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
A child has been diagnosed with Wilms' tumor. Preoperative nursing care would involve:
1. Careful bathing and handling. 2. Monitoring of behavioral status. 3. Maintenance of strict isolation. 4. Administration of packed red blood cells.
After learning about the need for a cesarean birth, the pregnant patient begins to cry and hyperventilate. Which nursing diagnosis should the nurse use to guide the care that the patient needs at this time?
A) Fear related to impending surgery B) Risk for infection related to a surgical incision C) Powerlessness related to medical need for cesarean birth D) Risk for impaired parent/infant attachment related to unplanned method of birth
The patient is prescribed radioactive iodine (RAI) and asks the clinician how this drug works. The clinician's response should include which of the following data?
a. RAI prevents the peripheral conversion of T4 to T3. b. RAI binds free T4. c. RAI destroys thyroid tissue. d. RAI reduces freely circulating iodine.