When transferring a patient from the bed to a chair, the nurse ...

[jessicacav]

When transferring a patient from the bed to a chair, the nurse should do all of the following EXCEPT
 
  a. remove her stethoscope before transfer
  b. ask the patient to grab onto her neck
  c. place the wheelchair parallel to the bed and as close as possible
  d. place her thumbs downward to prevent potential wrist injury as she lifts

Question 2

During the teaching session for a client who recently had a hysterectomy, the client states that she is nervous about taking the estrogen replacement therapy prescribed by her physician.
 
  She states that she is worried about developing breast cancer later in life. Which of the statements by the nurses will be most appropriate? 1. The risk of breast cancer is somewhat increased for women with a family history who opt to take estrogen replacement therapy..
   2. The risk of breast cancer is not increased for women who have had a hysterectomy and take estrogen replacement medications..
   3. Perhaps you should consider an estrogenprogestin combination therapy..
   4. Taking estrogen replacement is not required after a hysterectomy..

[LegendaryAnswers]

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.

[jessicacav]

Thanks for the timely response, appreciate it

[jackie]

Excellent