The nurse caring for patients on the cardiac unit reviews the standards related to deep vein thrombosis prophylaxis. Which approach should the nurse recognize as being the most effective to prevent the development of deep vein thrombosis?
a. Using bilateral thigh-high stockings throughout hospitalization
b. Using low molecular weight heparin given subcutaneously daily
c. Using bilateral leg compression devices while the patient is in bed
d. Using a combination of pharmacological and compression interventions
ANS: D
The evidence shows that use of combined treatments for those at high risk for venous thromboembolism is more effective than a single treatment. A. B. C. These approaches use single treatment for the prevention of deep vein thromobosis.
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The nurse is assisting her patients with hygiene care. She knows that this includes the following: (Select all that apply.)
a. Bathing b. Oral care c. Perineal care d. Foot care e. Patient communication
Which of the following conditions could affect the function of the digestive process? (Select all that apply.)
a. Increase in mobility b. Diagnostic testing c. Increase in nutrition d. Medications e. Increase in fluid intake f. Surgery
The nurse is providing care to a client diagnosed with chronic obstructive pulmonary disease (COPD). Which observation would indicate that care provided to this client has been effective?
A) Client conducts morning care and ambulates in room while maintaining an oxygen saturation of 92% on room air per oximetry reading. B) Client needs assistance with morning care and meals due to shortness of breath. C) Client states family members are discussing admission to a nursing home for continuing care. D) Client leaves hospital unit to smoke outside 4 times a day.
An emergency department nurse is caring for a 7-year-old child suspected of having meningitis
The patient is to have a lumbar puncture performed, and the nurse is doing postprocedure teaching with the child and the mother. The nurse's action is an example of which therapeutic communication technique? A) Informing B) Suggesting C) Humor D) Broad openings