When planning the care for a client during the first 24 postpartum hours, the nurse expects to monitor the client's pulse and blood pressure frequently on the basis of the understanding that the client is at risk for which of the following
complications?
A) Hemorrhoids
B) Hemorrhage
C) Thromboembolism
D) Cervical laceration
B
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A community implements a plan to enforce the underage drinking law. The community health nurse interprets this action as reflecting which public health model?
A) Primary prevention B) Behavioral prevention C) Environmental prevention D) Clinical prevention
The nurse is caring for a patient receiving IV aminoglycosides for an intractable infection in his or her leg. What would it be important for the nurse to monitor this patient for?
A) Visual disturbances B) Liver dysfunction C) Serum glucose levels D) Renal dysfunction
A 62-year-old female smoker is distraught at her recent diagnosis of small cell lung cancer (SCLC). How can her physician most appropriately respond to her?
A) "I'm sure this is very hard news to hear, but be aware that with aggressive treatment, your chances of beating this are quite good." B) "This is very difficult to hear, I'm sure, and we have to observe to see if it spreads because that often happens." C) "I'm very sorry to have to give you this news; I'd like to talk to you about surgical options, however." D) "This is a difficult diagnosis to receive, but there is a chance that the cancer may go into remission."
When admitting a patient with stage III pressure ulcers on both heels, which information obtained by the nurse will have the most impact on wound healing?
a. The patient takes insulin daily. b. The patient states that the ulcers are very painful. c. The patient has had the heel ulcers for the last 6 months. d. The patient has several old incisions that have formed keloids.