To improve venous blood return from the legs postoperatively, which of these exercises will be MOST beneficial to the client?
a. turning from side to side at regular intervals
b. splinting incision when coughing
c. deep breathing and making circles with the ankles
d. pushing toes toward the foot of the bed until calf muscles tighten, then relaxing and pulling toes toward chin until calf muscles tighten, then relaxing again
D
Postoperative ankle pumps should be done by pushing toes toward the foot of the bed until calf muscles tighten, then relaxing and pulling toes toward chin until calf muscles tighten, then relaxing again to increase venous blood return and prevent the development of thrombosis.
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Which of the following findings from a woman's initial prenatal assessment would be considered a possible complication of pregnancy that requires reporting to a physician for management?
A) Episodes of double vision B) Increased lumbar curvature C) Nasal congestion and swollen nasal membranes D) Palpitations when lying on her back
The nurse assesses a client receiving chemotherapy for lung cancer and notes red swollen mucous membranes and open sores in the mouth. The client reports mouth pain and difficulty swallowing. Which action does the nurse perform first?
a. Document the size of the sores. b. Perform mouth hygiene. c. Have the client rinse his or her mouth. d. Call the health care provider and hold chemotherapy.
Most diagnoses in acute care nursing include a description of the problem, its etiology, and relevant symptoms. What do most diagnoses include in community/public health nursing?
A. A focus on the afflicted individual or family B. The high-risk aggregate and the nurse's decision as to appropriate care C. The target population, health response desired, and host or environmental factors D. The terminology used in the NANDA taxonomy
A nurse suspects that the IV line through which doxorubicin (Adriamycin) is infusing has infiltrated. The nurse has discontinued the IV site. What additional action should be taken?
1. No special action is necessary. 2. A warm, wet compress should be placed on the site. 3. Wash the area thoroughly with soap and water. 4. Apply ice packs to the area immediately.