It is best not to move patients that are bed-confined
Indicate whether the statement is true or false.
F
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A nurse assesses a patient's IV lines on an hourly basis. When checking the IVs this hour, the nurse finds localized pain, redness, warmth, and swelling around the insertion site of a 25-year-old female patient
What is the nurse's first priority? A) Elevate the extremity B) Apply a warm compress C) Restart the line in the opposite extremity D) Apply a cold compress E) Discontinue the IV infusion
Upon admission to an acute care facility, which of the following symptoms would be most significant in the nursing management of a client with the history of anxiety reaction?
A) Chest tightness, rapid pulse B) Low blood pressure, pain C) Lethargy, flat affect D) Confusion, increased hunger
The nurse is assessing the patient's sclera and notes a bluish tinge. Which diagnosis does the nurse anticipate based on this assessment finding?
1) Episcleritis 2) Jaundice 3) Vitamin A deficiency 4) Osteogenesis imperfecta
The nurse is providing preoperative teaching for a 61-year-old man scheduled for an abdominal-perineal resection. Which information will the nurse include?
a. Another surgery in 8 to 12 weeks will be used to create an ileal-anal reservoir. b. The patient will begin sitting in a chair at the bedside on the first postoperative day. c. The patient will drink polyethylene glycol lavage solution (GoLYTELY) preoperatively. d. IV antibiotics will be started at least 24 hours before surgery to reduce the bowel bacteria.