An older patient who sustained a fractured hip and femur in a motor vehicle accident is to be in Russell traction for several weeks. What should be the focus of care for the nurse?
a. Offering frequent distractions
b. Encouraging nutrition
c. Offering pain relief
d. Preventing deep vein thrombosis (DVT)
D
DVT is a threat for the person who is going to experience lengthy periods of inactivity. Although nutrition, pain relief, and boredom will be nursing concerns as well, the prevention of DVT is the priority.
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The client says to the nurse, "It's my right to refuse medications." Which statement best reflects the nurse's ability to create a mutual understanding?
1. "Refusing your medications is your right, but it won't get you out of here." 2. "Can you tell me why you're so angry that you will refuse your medications?" 3. "Can you tell me what concerns you have about medications?" 4. "If you refuse your medications, you will just get sick again."
The nurse encourages health-promoting behaviors for young women that would include:
1. annual mammograms. 2. family planning. 3. yearly rectal exams. 4. annual prostate exams.
Confirmed by palpation and x-ray study, the client's right kidney is lower than the left kidney. What is the nurse's interpretation of this finding?
A. The client has a problem involving the right kidney. B. The client has a problem involving the left kidney. C. The client has both kidneys in the normal position. D. The client is at increased risk for kidney impairment.
The nurse administers meperidine (Demerol) to a woman who is in early labor. Immediately after the drug is given, the woman's labor progresses quickly, and she delivers her infant. The nurse will monitor the infant closely for which condition?
a. Opioid withdrawal syndrome b. Orthostatic hypotension c. Respiratory depression d. Tachycardia and poor perfusion