Author Question: When caring for a patient who is unconscious, the nurse should a. work in silence b. avoid ... (Read 42 times)

Sportsfan2111 · **on:** Jul 22, 2018

When caring for a patient who is unconscious, the nurse should

a. work in silence
b. avoid overstimulation and touching the patient
c. speak to the patient when performing procedures
d. discourage family chatter at the bedside

Question 2

A client is attending a health fair at work today. The client shows the nurse a new sore on the forearm that has been increasing in size and will not heal.

The nurse caring for this client knows that which of the following signs could point to a diagnosis of a malignant neoplasm? 1. Rapid growth, well-defined borders, and cohesiveness
2. Invasive, local, and does not stop at tissue border
3. Noncohesive, invasive, and invades and destroys surrounding tissues
4. Slow growth, well-defined borders, and encapsulated

sarajane1989 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
When caring for the unconscious patient, the nurse should orient the patient to self, situation, place, and time, address the patient by name and explain all procedures, use touch deliberately, actively listen to significant others, encourage significant others to talk to and touch the patient often, and treat the patient with the same respect that is provided to all patients.

Answer to Question 2

3. Noncohesive, invasive, and invades and destroys surrounding tissues

Rationale:
Malignant neoplasms are invasive, noncohesive, characterized by rapid growth, and not always easy to remove. They do not stop at the tissue border but invade and destroy surrounding tissues, metastasize to distant sites, and can recur. Benign neoplasms are local, cohesive, encapsulated, characterized by slow growth, and easily removed. They have well-defined borders, push other tissues out of the way, and do not recur.