The nurse cannot palpate a client's pedal pulse following an open reduction internal fixation procedure for a fractured tibia. Which of the following is a priority intervention for this client?
1. Notify the surgeon of the problem
2. Check the lower extremity for pallor
3. Use a Doppler ultrasound to find the pedal pulse
4. Assess the client's pain rating
3. Use a Doppler ultrasound to find the pedal pulse
Rationale:
To assess for circulation when the pulse is not palpable, the nurse next should use a Doppler ultrasound. Notifying the surgeon should occur once all assessment data are collected; this can include the presence of pallor and pain.
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A nurse is caring for a client who is prescribed a computed tomography (CT) scan with iodine-based contrast. Which actions should the nurse take to prepare the client for this procedure? (Select all that apply.)
a. Ensure that an informed consent is present. b. Ask the client about any allergies. c. Evaluate the client's renal function. d. Auscultate bilateral breath sounds. e. Assess hematocrit and hemoglobin levels.
The patient with -thalassemia intermedia has a hemoglobin level of 9.0. The nurse is preparing an education session for the patient. Which statement should the nurse include?
1. "You need to increase your intake of meat and other iron-rich foods." 2. "Your low hemoglobin could put you into preterm labor." 3. "Increasing your vitamin C intake will help your hemoglobin level." 4. "You should not take iron or folic acid supplements."
A community/public health nurse plans a program to improve the community's ability to prevent accidents. Which of the following measurements would be the best way to evaluate the outcomes of the nurse's intervention?
a. Number of accidents in the subsequent year in comparison with the previous year b. Number of people who attended the educational program c. Number of requests for information received after the program d. Satisfaction level of those who attended the program
Which clinical manifestations would the healthcare professional assess for in a painter with pulmonary hypertension?
a. Systemic blood pressure greater than 130/90 mmHg b. Rhonchi bilaterally c. Dyspnea on exertion d. Peripheral edema e. Jugular venous distention