The nurse is performing an assessment on the patient who is in bilateral Buck's traction. Which finding indicates the need to reposition the patient?
a. Heels are not touching the surface of the mattress.
b. Elastic bandages need to be rewrapped.
c. Patient's feet are against the footboard.
d. Weights are hanging free.
C
When the patient's feet are against the footboard, the traction is ineffective. The heels should be off the surface of the mattress to reduce the threat of pressure ulcer. The weights should be hanging free.
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The nurse manager of a busy pediatric unit noticed that a new infusion system seemed to be difficult to use. What should the manager do first?
A. Call the manufacturer to complain B. Bring in the nurse educator for more training sessions C. Ask the staff if they are having problems with the system D. Resend the instructions for using the system to all nursing staff
The nurse is preparing an elderly patient for a scheduled removal of orthopedic hardware, a procedure to be performed under general anesthetic. For which adverse effect should the nurse most closely monitor the patient?
A) Hypothermia B) Pulmonary edema C) Cerebral ischemia D) Arthritis
A patient with an autoimmune disorder says, "I don't know why this happened to me. I try to exercise and eat well." How should the nurse respond?
1. "These disorders are usually associated with a vitamin deficiency." 2. "These problems happen when your body misinterprets normal cells as being foreign and attempts to destroy them." 3. "It happened because you were exposed to something repeatedly, and then the body decided it needed to destroy it." 4. "Chronic illnesses are the cause of autoimmune disorders."
Nursing students are socialized into the
A) Nursing specialties B) Healthcare culture C) Caring paradigm D) Diagnostic process