The client is 8 hours postoperative from limb salvage surgery for a tumor of the left thigh
On assessment, the nurse notes that the toes of the left foot are more edematous than they were 1 hour before, cooler to the touch, and have a slower capillary refill. What is the nurse's priority action at this time? A. Elevate the left foot.
B. Notify the physician.
C. Loosen the pressure dressing.
D. Apply ice to the distal extremity.
B
A rapid deterioration in circulatory status of the affected extremity alerts the nurse to notify the physician immediately.
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The nurse is caring for a client with a serum cholesterol of 250 mg/dL, an HDL cholesterol of 30 mg/dL, and triglycerides of 550 mg/dL. The nurse would identify this client's coronary heart disease risk as being:
a. low. b. borderline. c. high. d. not enough information to determine.
A client is about to have a cholecystectomy by a surgeon using minimally invasive surgical technique. The most distinct advantage of minimally invasive surgery is:
a. decreased need for postoperative therapy b. a smaller incision with less scarring c. no risk of infection d. the likelihoof of an immediate discharge
Place soiled linen in a covered ____________________.
Fill in the blank(s) with the appropriate word(s).
Jillian, a psychiatric–mental health nurse, has initiated a process recording after gaining the consent of the client. What is the purpose of process recording?
A) It allows the nurse to see what effect his or her communication style has on the client. B) It allows the nurse to identify abnormalities in the client's communication techniques. C) It allows the client to explore alternate communication techniques that can be used. D) It allows the client to identify characteristics of his or her communication style.