A client had a nerve laceration repair to the forearm and is ...

[craiczarry]

A client had a nerve laceration repair to the forearm and is being discharged in a cast. What statement by the client indicates a poor understanding of discharge instructions relating to cast care?
 
  a. I can scratch with a coat hanger.
  b. I should feel my fingers for warmth.
  c. I will keep the cast clean and dry.
  d. I will return to have the cast removed.

Question 2

A client with myasthenia gravis has the priority client problem of inadequate nutrition. What assessment finding indicates that the priority goal for this client problem has been met?
 
  a. Ability to chew and swallow without aspiration
  b. Eating 75 of meals and between-meal snacks
  c. Intake greater than output 3 days in a row
  d. Weight gain of 3 pounds in 1 month

[fraziera112]

Answer to Question 1

ANS: A
Nothing should be placed under the cast to use for scratching. The other statements show good indication that the client has understood the discharge instructions.

Answer to Question 2

ANS: D
Weight gain is the best indicator that the client is receiving enough nutrition. Being able to chew and swallow is important for eating, but adequate nutrition can be accomplished through enteral means if needed. Swallowing without difficulty indicates an intact airway. Since the question does not indicate what the client's meals and snacks consist of, eating 75 may or may not be adequate. Intake and output refers to fluid balance.