Which intervention would be inappropriate for decreasing the risk of further emboli in a patient with a pulmonary embolism?
a. Carefully applying compression stockings
b. Performing passive range-of-motion exer-cises, especially of the lower limbs
c. Placing pillows under the knees to elevate the legs
d. Ambulating frequently
C
Nothing should be placed under the knees; doing so might impair circulation.
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A 17-year-old female is brought to the family practice clinic by her mother, who is worried that her daughter has not yet developed secondary sex characteristics. Which action by the nurse is best?
A. Assess a family pedigree for genetic influences. B. Explain that some girls don't develop until their 20s. C. Inform them that the daughter will be tested for estrogen deficiency. D. Obtain a urine sample for a pregnancy test.
A patient has severe pruritus from hepatitis B. Which of the following nursing measures would provide the greatest level of patient comfort?
A) Use hot water to increase vasodilation. B) Use cold water to decrease itching sensation. C) Give tepid water baths. D) Avoid lotions and creams.
A patient in a hospital is frustrated at the inconvenience of having to collect his urine for an entire day and night as part of an ordered 24-hour urine collection test
He asks the nurse why the test is necessary since he provided a single urine sample 2 days ago. How could the nurse best respond to the patient's question? A) "A single urine sample lets your care team determine if there are bacteria in your urine, but other tests of urine chemistry need a longer-term view." B) "Current lab tests aren't able to detect the small quantities of most substances contained in a single urine sample. C) "Only a longer-term test is able to show whether your kidneys are letting sugar spill out into your urine." D) "Often why an abnormal substance shows up in urine test, a 24-hour urine collection is needed to determine exactly how much it is present in your urine."
Lactulose is considered the first-line treatment for hepatic encephalopathy and works by:
a. causing ammonia to enter the bloodstream via the colon. b. trapping ammonia in the bowel for excretion. c. causing constipation and inhibiting the excretion of ammonia. d. creating an alkaline environment in the bowel.