A patient taking metronidazole for asymptomatic intestinal amebiasis comments to a nurse, "My hands and feel have been falling asleep a lot." The nurse should:
1. inform the patient that numbness is a common and reversible side effect of the drug.
2. encourage the patient to move the hands and feet frequently to improve circulation.
3. stress the need to avoid constrictive clothing and crossing the legs.
4. withhold the drug and notify the prescriber.
Correct Answer: 4
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a. Limiting caffeine, tobacco, and alcohol b. Installing grab bars in the shower and toilet areas c. Decreasing the intake of yogurt and milk d. Removal of scatter rugs and other trip items
When preparing a teaching plan for a group of first-time pregnant women, the nurse expects to review how maternity care has changed over the years. Which of the following would the nurse include when discussing the 20th century?
A) Epidemics of puerperal fever B) Performance of the first cesarean birth C) X-ray developed to assess pelvic size D) Development of free-standing birth centers
Concerning the procedures and criteria for a woman's admission to the hospital labor unit, nurses should be aware that:
1. she is not considered to be in true labor (according to EMTALA) until a qualified health care provider says she is. 2. she can have only her male partner or predesignated doula with her at assessment. 3. her weight gain is calculated to determine whether she is at greater risk for ce-phalopelvic disproportion and cesarean birth. 4. the nurse should listen politely to the woman's previous birthing experiences but realize each birth is a unique experience.
J.F., a 67-year-old woman, was involved in an auto accident and flown by emergency helicopter to your facility. She sustained a ruptured spleen, fractured pelvis, and compound fractures of the left femur. On admission (5 days ago) she underwent a splenectomy. Her pelvis was stabilized with an external fixation device 3 days ago, and, yesterday, her left femur was stabilized using balanced suspension with skeletal traction. She has a Thomas splint with a Pearson attachment on her left leg. She has 20 pounds of skeletal traction and 5 pounds applied to the balanced suspension. Her left femur is elevated off the bed at approximately 45 degrees. The lower leg is parallel to the bed and lies in a sling that the nurse adjusts on the frame, and the foot hangs freely.
This morning, J.F. was transferred to your orthopedic unit for specialized care. You are the nurse assigned to care for her on the night shift. You enter J.F.'s room for the first time. What aspects of the traction will you inspect? What will be an ideal response?