A.
Reducing dairy products in the diet
B.
Straining all urine
C.
Measuring intake and output
D.
Increasing fluid intake
- ANSWER>>Straining all urine - Straining urine will enable the nurse to determine when the kidney stone has been passed and may prevent the need for surgery.
The nurse is caring for a client with a chest tube to water seal drainage that was inserted 10 days ago because of a ruptured bullae and pneumothorax. Which finding should the nurse report to the health care provider before the chest tube is removed?
A.
Tidaling of water in water seal chamber
B.
Bilateral muffled breath sounds at bases
C.
Temperature of 101°F
D.
Absence of chest tube drainage for 2 days
- ANSWER>>Tidaling of water in water seal chamber - Tidaling (rising and falling of water with respirations) in the water seal chamber should be reported to the health care provider before the chest tube is removed to rule out an unresolved pneumothorax or persistent air leak, which is characteristic of a ruptured bullae caused by abnormally wide changes in negative intrathoracic pressure.
The x-ray for the client in the emergency department (ED) reveals a right-sided rib fracture. What information will the nurse include in the client's discharge instructions? (Select all that apply.)
A.
Splint your right side with your right arm.
B.
You may have to sleep sitting up for a while.
C.
Return to the ED if you develop difficulty in breathing.
D.
Use shallow breaths until the pain subsides.
E.
Use 2 L of oxygen by nasal cannula when you have shortness of breath.
- ANSWER>>A, B, and C.
The nurse is giving preoperative instructions to a 14-year-old client scheduled for surgery to correct a spinal curvature. Which statement by the client best demonstrates that learning has taken place?
A.
"I will read all the teaching booklets you gave me before surgery."
B.
"I have had surgery before, so I know what to expect afterward."
C.
"All the things people have told me will help me take care of my back."
D.
"Let me show you the method of turning I will use after surgery."
ANSWER>>"Let me show you the method of turning I will use after surgery." - The outcome of learning is best demonstrated when the client not only verbalizes an understanding but also provides a return demonstration.
he nurse is preparing a client for discharge after a right total knee replacement. Which client statements about use of a walker indicate to the nurse the teaching was effective? (Select all that apply.)
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