Answer to Question 1
B
The nurse should remove the stethoscope before transferring the patient. The wheelchair should be placed parallel to the bed and as close as possible. The nurse's thumbs should be placed downward to prevent wrist injury when lifting. The nurse should not instruct the patient to wrap their arms around the nurse's neck.
Answer to Question 2
2. The risk of breast cancer is not increased for women who have had a hysterectomy and take estrogen replacement medications..
Rationale: The risk for the development of breast cancer is not greater for women who take estrogen replacement therapy after undergoing a hysterectomy. Progestin therapies are not used for women who are in surgical menopause. Further, it is inappropriate for the nurse to make suggestions of a prescriptive nature, as it violates the scope of practice. While it is not mandatory for the client to take estrogen replacement therapy after surgery, the nurse should clarify and correct misconceptions of the client.
Estrogen replacement therapy is not associated with breast cancer for women who have undergone a hysterectomy. Taking estrogen after a hysterectomy is optional, not required.
Nurse-patient interaction; nonverbal communication
Patient teaching: abdominal assessment
Charles and Ray Eames, Side Chair, Model DCM.
Each patient is greeted by the receptionist.
Preoperative and Postoperative Patient Instructions
Pneumonia patient’s chest x-ray. Note the irregular areas of density.