The nurse checks a casted right leg resting upon a pillow and finds that the cast appears too tight. What should the nurse do?
a. Remove the pillow under the cast.
b. Apply an extra blanket to the leg.
c. Administer pain medication.
d. Notify the registered nurse.
ANS: D
Notify the RN. A serious complication of a cast being too tight is compartment syndrome. The physician needs to be contacted for orders to cut the cast with a cast cutter to relieve pressure and prevent pressure necrosis of the underlying skin.
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The Minimum Data Set (MDS)
a. Refers care providers to problem areas that must be addressed in the plan of care b. Dictates the nursing care that should be provided to every nursing home resident c. Focuses on care required for specific medical diagnoses d. Refers care providers to standardized plans of care
A client has a dysfunction in one of his glands that is causing a decrease in the level of calcium in the blood. What gland should be evaluated for dysfunction?
A) Thyroid gland B) Parathyroid gland C) Thymus gland D) Adrenal gland
The nurse notes that a website has a HONcode. For which designation should the nurse check the site before using the material? Select all that apply.
A) Authority C) Advertising D) Transparency E) Confidentiality
A client is trying unsuccessfully to clear the airway with a cough. The measure the nurse would suggest to help the client cough more effectively is
a. cough while leaning forward. b. drink milk to coat the throat. c. insert a large-lumen suction catheter before coughing. d. place a clean finger over the tracheostomy tube and cough.