A patient with a fractured pelvis is initially treated with bed rest with no turning from side to side permitted. The second day after admission, the patient develops chest pain, tachypnea, and tachycardia. The nurse determines that the patient's symptoms are most likely related to fat embolism when assessment of the patient reveals
a. a blood pressure of 100/65 mm Hg.
b. anxiety, restlessness, and confusion.
c. warm, reddened areas in the calf.
d. pinpoint red areas on the upper chest.
Ans: d. pinpoint red areas on the upper chest.
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The patient complains of a metallic taste and loss of appetite. The nurse is concerned that the patient has developed
a. glycosuria. c. myoglobin. b. proteinuria. d. uremia.
The nursing staff quality improvement committee recommends a new practice change be implemented based on outcome analysis. Which response by their manager would be most effective in fostering the empowerment of the nurses?
1. "We'll take this to all the hospital committees and see if they approve it." 2. "This is a great ideaâ€"let's share your success with the other units." 3. "You have done a nice job. I'll revise this and then we can write a policy on it." 4. "I don't think the physicians will want to continue you this, but it was a good effort."
The nurse caring for a patient with colorectal cancer is explaining to the patient that it is time to begin preparing for surgery that will occur on the following day
The nurse prepares to administer cephalexin (Keflex) to the patient. What would the nurse inform the patient that the goal of antibiotic administration prior to surgery is? A) Treat any undiagnosed infections. B) Reduce the intestinal bacteria. C) Assist in digestion after surgery. D) Reduce abdominal distention.
Michele is a nursing student who is working on a postsurgical unit
She will be assisting patients with personal hygiene and plans to provide a back rub to each of her patients because research demonstrates that it enhances patient comfort and relaxation. On which of the following patients is effleurage contraindicated? A. 56-year-old patient with colon resection B. 45-year-old patient with cardiac bypass C. 67-year-old patient with appendectomy D. 24-year-old patient with abdominal hysterectomy