A patient in a full body cast (spica) complains of nausea and abdominal distention. What potential complication should a licensed vocational nurse (LVN) suspect?
a. Constipation
b. Compartment syndrome
c. Cast syndrome
d. Shock
C
Cast syndrome is an uncommon complication for a person in a spica cast, in which compression of a portion of the duodenum occurs between the mesenteric artery and the spinal column.
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The nurse is teaching strategies to prevent insect bites and stings to the parents of a small child. Which statement made by the parents indicates a need for further teaching?
1. "If my child wears bright colors and floral prints when outdoors, she will blend in with the surroundings, and the stinging insects will not sting her." 2. "We should remove any items with standing water from our yard and surrounding area to prevent mosquito reproduction." 3. "My child can use insect repellent containing DEET of 10% or less." 4. "My child should avoid heavy colognes, perfumes, and soaps so that insects are not attracted to them."
The nurse is aware that the characteristic of emphysema that gives rise to the "Pink Puffer" label is the emphysemic patient's:
1. dyspnea. 2. barrel chest. 3. thin body. 4. normal ABGs.
A woman who has had multiple miscarriages is advised to go through genetic testing. The patient asks the nurse the rationale for this recommendation. The nurse will explain that:
1. The woman's pedigree might exhibit a problem carrying a fetus to term. 2. The majority of miscarriages are caused by genetic defects. 3. A woman's chromosomal pattern determines her fertility. 4. There is a genetic marker that detects the presence of an incompetent cervix.
An 84-year-old man who is receiving dialysis treatments on an outpatient basis reports depressed mood and low energy and makes reference to death and dying. His wife and son are ready to take him home after the procedure
Which question should a nurse ask the client's wife when preparing a discharge plan of care? A) "Has he had any appetite or sleep changes as well?" B) "How often is he left alone?" C) "Has he been following his diet and exercise program consistently?" D) "How would you characterize your relationship with your husband?"