A client's spouse reports the presence of a reddened area on her husband's coccyx. She feels a massage would be helpful in promoting circulation to the area. What response by the nurse is indicated?
A) "Massaging the area twice daily will help restore circulation and should be incorporated into the plan of care."
B) "I will record these findings in the medical record."
C) "Massaging the area may actually cause more harm to a potentially compromised area of skin."
D) "I will need to obtain an order from the physician to perform a massage."
C
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End-of-life care
a. Includes communication and education about choices b. Requires the nurse to get in touch with his or her own beliefs c. Is the same for all individuals d. Both A and B
The patient complains to the nurse about a newly developed intolerance to milk. The nurse suggests filling calcium needs with:
a. rye bread. b. yogurt. c. apples. d. raisins.
A client is admitted to a hospital for secondary health care services. An example of secondary health care services would be the client who:
a. goes to the public health clinic for family planning services. b. requires physical therapy to regain function after experiencing a stroke. c. undergoes an appendectomy for a ruptured appendix. d. attends a support group for smoking cessation.
While auscultating a client's lungs, the nurse identifies more than one sound. Which of the following should the nurse do?
1. Obtain a stethoscope with longer tubing. 2. Ask another nurse to listen to the lung sounds. 3. Hold the stethoscope tubing while listening to the lung sounds. 4. Close the eyes and focus on one sound at a time.