The nurse is caring for a client admitted for control of unstable angina. The nurse answers the call bell and the client reports severe pain (10 on a 1-10 scale, with 10 being worst) in the left leg
The nurse assesses the left leg and finds it cold, pale, and pulseless, with no popliteal, dorsalis pedis, or posterior tibial pulse by palpation or Doppler. The nurse's priority intervention is to: 1. Elevate the leg and apply heat.
2. Have the client walk to improve circulation.
3. Notify the RN or physician immediately.
4. Administer an analgesic to control pain.
3
Rationale: This client has complete occlusion of arterial supply to the left leg, and requires rapid surgical intervention to prevent loss of the leg secondary to ischemia. The nurse should notify the RN or physician immediately, so plans can be implemented to take the client to surgery.
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A patient claims to get better effects with a tablet of Brand X of a drug than with a tablet of Brand Y of the same drug. Both brands contain the same amount of the active ingredient. What does the nurse know to be most likely?
a. Advertising by pharmaceutical companies can enhance patient expectations of one brand over another, leading to a placebo effect. b. Because the drug preparations are chemi-cally equivalent, the effects of the two brands must be identical. c. Tablets can differ in composition and can have differing rates of disintegration and dissolution, which can alter the drug's ef-fects in the body. d. The bioavailability of a drug is determined by the amount of the drug in each dose.
If a child is to be admitted to hospital for an elective procedure, benefit may be gained from:
a. a preadmission visit. b. detailed leaflets on their procedure. c. a and b. d. none of the above.
Which is included in a statement of a research study purpose?
a. A description of gaps in knowledge about the research problem. b. A discussion of the significance of the research problem. c. A review of what is known about the research problem. d. A statement about how the research problem will be studied.
Immediately after electroconvulsive therapy (ECT), nursing care of the patient is most similar to care of a patient:
a. With severe dementia b. With delirium tremens c. Recovering from conscious sedation d. Recovering from general anesthesia