The nurse knows the surgical client is at risk for thrombophlebitis. Which of the following nursing interventions would the nurse implement to decrease the risk of this occurring?
A)
Cough every 2 hours.
B)
Intake and output every 2 hours
C)
Early ambulation
D)
Administer an anticoagulant.
C
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The community nurse is meeting a new mother for the first time. The patient delivered her first child 5 days ago after a 12-hour labor. Neither the mother nor the infant had any complications during the birth or postpartum period
Which statement by the patient would indicate to the nurse that the patient is experiencing postpartum blues? 1. "I am so happy and blessed to have my new baby." 2. "One minute I'm laughing and the next I'm crying." 3. "My husband is helping out by changing the baby at night." 4. "Breastfeeding is going quite well now that the engorgement is gone."
When teaching a client about beta blockers, what should the nurse include in the teaching plan regarding what can occur with abrupt discontinuation?
1. Dry mouth and painful urination 2. Dizziness and coma 3. Chest pain and rebound hypertension 4. Cramping and constipation
Which clinical manifestation is characteristic of cluster headaches?
a. Preheadache aura b. Severe unilateral tearing c. Gradual onset of a tight band around the head d. Significant unilateral, temporal pain e. Pain lasting from 30 to 120 minutes
Which client being cared for on the medical-surgical unit will be best to assign to a nurse who has floated from the intensive care unit (ICU)?
A. Recent radical mastectomy client who requires chemotherapy administration B. Modified radical mastectomy client who needs discharge teaching C. Stage III breast cancer client who is requesting information about radiation and chemotherapy D. A client with a Jackson-Pratt drain in place who has just arrived from the postanesthesia care unit (PACU) after a quadrantectomy