For which patient(s) should the nurse avoid using back massage? Select all that apply
a. One who underwent heart surgery 3 days ago
b. One who sustained rib fractures from a fall
c. One who underwent a lumbar laminectomy
d. One who sustained a leg fracture in a sledding accident
A, B
Back massage is contraindicated with rib fractures, burns, and recent heart surgery. Massage is acceptable for the patients with lumbar laminectomy or leg fracture.
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A patient presents to the emergency department with visual disturbances, nausea, vomiting, forgetfulness, and irritability. The patient tells the nurse that she is a victim of a terrorist attack involving a chemical agent
The nurse suspects this patient has been exposed to what chemical agent? A) Nerve agent B) Pulmonary agent C) Vesicant D) Blood agent
The nurse is caring for a patient admitted with a grade III heart murmur heard at midsystole. The nurse recognizes that which cardiac conditions could cause this assessment finding?
Select all that apply. 1. aortic stenosis 2. cardiomyopathy 3. atrioventricular (AV) valve disease 4. mitral valve prolapse (MVP) 5. ventricular septal defect
Which component of the nursing process fosters nursing autonomy through critical thinking?
A) Assessment B) Diagnosis C) Planning D) Evaluation
Which functions of red blood cells (RBCs) should the nurse include in a teaching session for the family of a pediatric client who is diagnosed with anemia? Select all that apply
1. Carry oxygen from the lungs to the tissues 2. Return carbon dioxide from the tissues to the lungs 3. Assist the body to fight infection 4. Assist the body to fight allergens 5. Form hemostatic plugs to stop bleeding