A client is recovering from a skin graft to her right arm. Which of the following nursing interventions would not be indicated for this client?
1. Assess for bleeding.
2. Assess for drainage underneath the graft site.
3. Encourage exercise of the right arm.
4. Remove dressings slowly.
3
Exercise of the site may cause dislodgement of the skin graft. The graft should be examined every 24 hours because drainage or blood can accumulate under the graft and cause nonadherence. Dressings should be removed slowly and carefully so that the graft is not disturbed.
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The nurse is caring for a patient with a severe head injury. An osmotic diuretic is ordered. The nurse understands which drug is an osmotic diuretic?
A) Spironolactone (Aldactone) B) Bumetanide (Bumex) C) Mannitol (Osmitrol) D) Ethacrynic (Edecrin)
A woman who attends your prenatal clinic has a thoracic-level spinal cord injury from a skiing accident. She is confined to a wheelchair for ambulation. Which of the following would you urge her to do during pregnancy?
A) Hold her breath to cause descent of her diaphragm hourly. B) Tense her abdominal muscles hourly to maintain abdominal tone. C) Raise her buttocks off the wheelchair seat hourly. D) Do pelvic rocking hourly to maintain vertebral mobility.
Always let the family be alone with the patient; they don't want you there
True False
A patient suffering from schizophrenia is likely to have which of the following pathophysiologic effects?
A) Increased dopamine B) Increased potassium C) Decreased glutamate receptors D) Decreased interaction with GABA