A nurse is collecting data about a client's skeletal system. The nurse should be in which of the following positions to screen the client for scoliosis? Show A. Standing beside the client, who is lying on the examination table B. Facing the client, who is sitting in a chair C. Standing behind the client, who is bent over at the waist D. Standing on either side of the client while the client leans back
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Get faster at matching terms Terms in this set (20)a nurse in an ambulatory care clinic is caring for a client who had a mastectomy 6 months ago. the client tells the nurse that she has not had much desire for sexual relations since her surgery, stating, "my body is so different now" which of the following responses should the nurse make "i'm interested in finding out more about how your body feels to you" a nurse is caring for a group of clients on a medical surgical unit. which of the following clients are at risk for body image disturbances a. a 30 year old male client following laparoscopic appendectomy BCE a nurse is caring for a client who is 3 days postoperative following a below the knee amputation as a result of a motor vehicle crash. which of the following client statements indicates to the nurse that the client has a distorted body image? " i dont even want to look at my leg. you can check the dressing" a nurse is caring for a client who is recovering from a myocardial infarction and a cardiac catheterization. the client states, "i am concerned that things might be a little, you know, different with my wife when i get home" which of the following statements should the nurse make "it sounds like you are concerned about sexual functioning. lets discuss your concerns" a nurse is teaching a group of clients how to care for their colostomies. which of the following statements should alert the nurse that one of the clients is having an issue with self concept ill never be able to care for this at home. can't you just send a nurse to the house? a nurse is caring for a client who has terminal lung cancer. the nurse observes the clients family assisting with all adl's. which of the following rationales for self care should the nurse communicate to the family. the clients sense of loss can be lessened through retaining control of certain areas of her life a nurse is caring for a client who has stage IV lung cancer and is three days postoperative following a wedge resection. the client states, "i told you myself that I would go through with the surgery and quit smoking, if i could just live long enough to attend my daughters wedding. based on kubler-ross' model, which stage of grief is the client experiencing a. anger C. bargaining a nurse is consoling the partner of a client who is just expired after a long battle with liver cancer. the partner is displaying grief and states, "I hate him for leaving me" which of the following statements by the nurse successfully facilitate mourning for the grieving partner? select all a. would you like me to contact the chaplain to come speak with you ADE dont give false reassurance a nurse is caring for a client who has a terminal illness. death is expected within 24 hours. the clients family is at the bedside and asks the nurse about anticipated findings at this time. which of the following findings should the nurse include in the discussion? a. regular breathing patterns D muscle relaxation is an expected finding when a client is approaching death a nurse is assisting with a newly licensed nurse with postmortem care of a client. the family wishes to view the body. which of the following statements by the newly licensed nurse indicate an understanding of the procedure? select all a. i will remove the dentures from the body CDE keep dentures in so the face looks as natural as possible a nurse is caring for a client that states, "i have to check with my wife and see if she thinks i am ready to go home" the nurse replies, "how do you feel about going home today?" which clarifying technique is the nurse using to enhance communication with the client reflecting which of the following actions should the nurse take when using the communication technique of active listening a. use an open posture ACE a nurse is caring for client who is concerned about his impending discharge to home with a new colostomy because he is an avid swimmer. which of the following statements should the nurse make "your daily routines will be different when you get home" which of the following strategies should a nurse use to establish a helping relationship with a client encourage the client to communicate his thoughts and feelings a nurse is caring for a school-age child who is sitting in a chair. to facilitate effective communication, which of the following actions should the nurse take sit at eye level with the child a nurse is caring for a client who decides not to have surgery despite significant blockages in his coronary arteries. the nurse understands that this clients choice is an example of a. fidelity b. autonomy a nurse offers pain meds to a client who is post op prior to ambulation. the nurse understands that this aspect of care delivery is an example of which of the following ethical principles a. fidelity D. beneficence - promotes good for others a nurse is instructing a group of nursing students about the responsibilities organ donation and procurement involve. when the nurse explains that all clients waiting for a kidney transplant have to meet the same qualifications, the students should understand that this aspect of care delivery is an example of which of the following ethical principles a. fidelity C. Justice (fairness) a nurse questions a medication prescription as too extreme in light of the clients advanced age and unstable status. he nurse understands that this action is an example of which of the following ethical principles a. fidelity D. nonmaleficence- do no harm a nurse is instructing a group of nursing students about how to know and what to expect when ethical dilemmas arise. which of the following situations should the students identify as an ethical dilemma a. a nurse on a med-surg unit demonstrates signs of chemical impairment C- enteral tube feeding is an ethical decision caring for someone while under the influence is a legal issue.
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What happens after a below the knee amputation?Your doctor removed the leg while keeping as much healthy bone, skin, blood vessel, and nerve tissue as possible. After the surgery, you will probably have bandages, a rigid dressing, or a cast over the remaining part of your leg (remaining limb). The leg may be swollen for at least 4 weeks after your surgery.
What should you monitor after amputation?Assess the surgical dressing for integrity and drainage. Elevate the stump for the first 24 to 48 hours. Move and turn the patient gently and slowly to prevent severe muscle spasms. Reposition the patient every 2 hours, turning the patient from side to side and prone, if possible.
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A nurse is caring for a client who is 4 days postoperative following a below-the-knee amputation
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