A patient trips while ambulating and breaks open the skin on his knee. The next day the knee is red, warm to the touch and painful at the site of the injury. The patient's CBC shows a high white blood cell count
What would the nurse suspect is wrong with the patient?
A) Infection of the knee
B) Inflammation of the knee
C) Colonization of the knee
D) Diseased knee
Ans: A
Feedback: Clinical evidence of redness, heat, and pain, and laboratory evidence of white blood cells on the wound specimen smear, suggest infection. Therefore options B, C, and D are incorrect.
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A postoperative client is reluctant to participate in physical therapy. What action by the nurse is best?
a. Ask the client about pain goals and if they are being met. b. Ask the client why he or she is being uncooperative with therapy. c. Increase the dose of analgesia given prior to therapy sessions. d. Tell the client that physical therapy is required to regain function.
The nurse is caring for a patient who is to receive a transfusion of packed red blood cells. The patient has a 22-gauge IV in his arm with 0.9% normal saline infusing
What intervention will the nurse perform before obtaining the packed red blood cells from the blood bank? a. Identify the blood group, type, and expiration date with another nurse. b. Insert an 18- or 20-gauge angiocatheter into the patient's other arm. c. Program the IV infusion pump so that the transfusion will complete within 4 hours. d. Obtain a new microdrip tubing and extension tubing from the clean utility room.
A nurse completes a functional status assessment of an older person using the Lawton IADL in-strument, a self-reported instrument. The nurse knows that limitations of self-reported measures include that: (Select all that apply.)
a. individuals tend to overestimate their functional ability. b. self-reports often differ from that of proxy reports. c. self-reports are not indicative of small changes in function. d. self-reports do not provide a valid meas-urement of function. e. older adults are not able to complete self-reported measurements.
The nurse is reviewing client records for compliance to identified criteria and client outcomes. The nurse is participating in which of the following?
a. Audit c. Benchmarking b. Peer review d. Clinical pathway documentation