Following a motor-vehicle accident, a patient arrives in the emergency department with massive right lower-leg swelling. Which action will the nurse take first?

a. Elevate the leg on pillows.
b. Apply a compression bandage.
c. Place ice packs on the lower leg.
d. Check leg pulses and sensation.


Ans: d. Check leg pulses and sensation.

Nursing

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Auscultation of the lung fields provides the nurse with information on the type of breath sound the patient is exhibiting

While listening over the manubrium, the nurse auscultates loud expiratory sounds that last longer than inspiratory sounds. The nurse will document her findings as: A) Vesicular breath sounds B) Bronchovesicular breath sounds C) Bronchial breath sounds D) Tracheal breath sounds

Nursing

The nurse is caring for a Spanish-speaking client admitted for exacerbation of chronic obstructive pulmonary disease (COPD). The client speaks very little English and is a smoker. Which action would be the most beneficial for this client?

A) Have the adult child of the client translate during the assessment process B) Encourage aerobic activity C) Encourage the client to write down questions prior to seeing the healthcare provider D) Obtain educational materials about smoking cessation written in Spanish.

Nursing

What is the pharmacokinetic term that refers to the chemical change of a drug into a form that can be excreted?

A) Absorption B) Distribution C) Biotransformation D) Excretion

Nursing

Which of the following statements accurately represents a consideration when using an epidural analgesia for patient pain management?

A) If the patient develops a headache, a mild analgesic may be administered along with the epidural. B) The anesthesiologist/pain management team should be notified immediately if the patient exhibits a respiratory rate below 10 breaths/minute. C) If a patient is experiencing adverse effects, a peripheral IV line should be installed to allow immediate administration of emergency drugs, if warranted. D) Slight resistance should be felt during the removal of an epidural catheter.

Nursing