The nurse is caring for a patient who is 24 hours postpacemaker insertion. Which of the following nursing interventions is most appropriate at this time?
A. Reinforcing the pressure dressing as needed
B. Encouraging range-of-motion exercises of the involved arm
C. Assessing the incision for any redness, swelling, or discharge
D. Applying wet-to-dry dressings every 4 hours to the insertion site
Answer: C. Assessing the incision for any redness, swelling, or discharge
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An older Asian female with a diagnosis of depression is cared for by her granddaughter. Her granddaughter is very attentive to the client's needs, attends every therapy session, and is active in the planning and implementing of the treatment plan
The granddaughter's valuing of her grandmother is most likely due to her: a. Ethnicity b. Cultural beliefs c. Religion d. Stereotype
A young mother brings her children to the health department for routine immunizations. The mother is crying because she lost her job and fears that her asthmatic daughter may be denied appropriate health care because she is unable to pay for it
The nurse realizes that many clients are experiencing these fears. Which action by the nurse would have the greatest impact for all clients who experience this fear? A) Reminding the client that everything will be fine B) Becoming involved in the American Nurses Association (ANA) C) Moving to an area that needs healthcare workers D) Giving the client medications and supplies from the clinic at no charge
The nurse provides instructions about postoperative exercises to the client who is scheduled for a laparotomy. Which does the nurse include in client teaching?
1. Exercise each extremity. 2. Exercise once every day. 3. Repeat exercises two times. 4. Turn in bed every four hours.
The client has been ordered treatment with Amoxil. The client reports to the nurse that she has developed symptoms of vaginitis. The highest priority action on the part of the nurse is to recognize this as:
a. an expected side effect of the medication. b. a life-threatening reaction to the drug. c. evidence of development of a superinfection. d. evidence of an anaphylactic reaction.