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6 Cards in this Set

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The nurse is preparing a client who speaks little English for discharge afte emergency gallbladder surgery. Which nursing action would be most effective in helping this client understnad wound care instructions
4
1. Ask frequently if the client understands the instructions

2. Ask an interpreter to relay the instructions to the client.

3. Write out the instructions and have a family member read them to the client.

4. Demonstrate the procedure to the client and have the client return the demonstration.
Which of the following clients would qualify for hospice care?
1 and 3
1. Late-stage AIDS
2. Left-side paralysis s/p stroke
3. Metastatic cancer w/chronic pain
4. Leukemia undergoing chemotherapy
5. Coronary artery bypass surgery 2 weeks ago
6. Pt undergoing tx for heroin addiction
The nurse is caring for a client receiving PCA for pain. Which is true?
2
1. PCA pump can't infuse opioids continuously.
2. Pain relief is initiated by the client as needed.
3. No complications r/t opioid delivery by the pump exist.
4.RN prescribes the dosage of opioid for delivery.
A pt is hospitalized w/Pneumocystis carinii pneumonia. The nurse observes hte pt has no visitors, seems withdrawn, avoids eye contact, and refuses to engage in conversation. In a loud and angry voice, the pt demands the RN leave the room. The RN dx for this pt is social isolation. Based on this dx, what is an appropriate goal?
1
1. ID one way to incr social interaction

2. Report incr adaption to changes in health status

3. ID at least one factor contributing to altered sexuality patterns.

4. Return a demonstration of measures that can incr indepdence.
For a hospitalized pt, which stmt reflext appripriate deocumentation in the pt's medical record
4
1. "Small pressure ulcer noted on left leg"

2. Seems to be mad at the physician

3. Client had a good day

4. Skin moist and cool
The RN is delivering hte pt's 10 am meds. The pt is away for a diagnostic study. Which action is most appropriate?
3
1. Leave meds at bedside.

2. Ask roommate to keep meds until pt returns.

3. Lock meds in med room until pt returns

4. Skip that dose.