When a female client tells the nurse, "I always get pains in my legs when walking," the nurse would question her about
a. amount of activity required to cause pain.
b. history of hypertension.
c. number of pregnancies.
d. presence of swelling.
A
The extent of the disease can be gauged by the distance the client is able to walk without pain, or the "claudication" distance.
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On admission, a patient presents as follows: pH, 7.38; respiratory rate, 24 breaths/min, regular, pursed-lip breathing; PaO2, 66 mm Hg; heart rate, 112 beats/min, sinus tachycardia;
PaCO2, 52 mm Hg; blood pressure, 110/68 mm Hg; HCO3, 34 mEq/L; and SpO2, 90% on O2 2 L/min nasal cannula. These gases show a. uncompensated metabolic alkalosis. b. uncompensated respiratory acidosis. c. compensated respiratory acidosis. d. compensated respiratory alkalosis.
The client is receiving heparin therapy for a deep vein thrombosis. Which activated partial thromboplastin time (aPTT) indicates to the nurse that anticoagulation is adequate?
A. The client's aPPT is half of the control value. B. The client's aPPT is the same as the control value. C. The client's aPPT is twice the control value. D. The client's aPPT is five times the control value.
When caring for a patient with multiple traumatic injuries, which of the following should the nurse do after adequately managing the patient's airway, breathing, and circulation?
1. listen to heart sounds 2. administer prophylactic tetanus toxoid 3. assess level of consciousness 4. transfer the patient to a high-acuity unit
Skeletal traction is implemented primarily for: (Select all that apply.)
a. simple fracture. b. multiple trauma. c. fractured ankle. d. acetabular fracture. e. cervical fracture.