Which of the following is a recommended guideline for applying an elbow restraint?
A) Choose the correct size of the device that allows for the least amount of mobility.
B) Spread elbow restraint out flat, and place middle of elbow restraint behind patient's elbow.
C) Make sure the restraint extends below the wrist and does not put pressure on the axilla.
D) Wrap restraint snugly around the patient's arm but make sure that a fist can easily fit under restraint.
B
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A nurse is caring for a patient who has had major abdominal surgery. The postsurgical nurse is aware that the postoperative plan of care should include:
A) Providing passive range of motion, assisting the patient with coughing and deep breathing as needed, and increasing mobility by helping the patient sit on the side of the bed every day. B) Assessing bowel sound every 8 hours, offering medications as ordered, and allowing the patient privacy and security. C) Managing the patient's pain, working with the patient to cough and deep breathe every 2 hours, turning the patient frequently, exercising, and ambulating as early as possible. D) Allowing the patient to visit with family, allowing time for rest and reflection, and then have the nursing assistant provide a sponge bath while the nurse begins the discharge teaching process.
A client comes to the emergency department complaining of a sudden onset of sharp, severe flank pain. During the physical examination, the client indicates that the pain, which comes in waves, travels to the suprapubic region
He states, "I can even feel the pain at the tip of my penis." Which of the following would the nurse suspect? A) Acute glomerulonephritis B) Ureteral stricture C) Urinary calculi D) Renal cell carcinoma
A nurse has identified a point source of air pollution. Which of the following has the nurse iden-tified?
a. A smoke stack b. The number of cars and trucks c. The amount of fossil fuel consumed in a community d. Ground ozone levels
Which data collected by the nurse caring for a patient who has cardiogenic shock indicate that the patient may be developing multiple organ dysfunction syndrome (MODS)?
a. The patient's serum creatinine level is elevated. b. The patient complains of intermittent chest pressure. c. The patient's extremities are cool and pulses are weak. d. The patient has bilateral crackles throughout lung fields.