The nurse is providing care for a male patient who has undergone knee arthroplasty. As part of the nurse's morning assessment, the nurse is assessing for peripheral neurovascular dysfunction distal to the surgical site. When performing this assessment, what parameters should the nurse assess and document? Select all that apply.
A) The color of the patient's lower leg and foot
B) The patient's ability to move his foot
C) The patient's sensation in his foot and lower leg
D) The temperature of the patient's foot and lower leg
E) The presence or absence of hair on the patient's foot and lower leg
A, B, C, D
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A 3-year-old child, while playing with his favorite toy in the playroom of the pediatric unit, is approached by another child who also wants to play with the same toy. What behavior will the nurse anticipate from this child?
a. Will play well with the other child b. Will give the toy up and then not play anymore c. Will become angry and a physical response might ensue d. Will ignore the toy and go on to something else
A home health nurse cautions the patient taking lithium that she should be sure to:
a. examine her skin closely for eruptions. b. take her blood pressure twice a day to check for hypertension. c. have her drug blood level checked every month. d. avoid aged cheese and red wine.
Which of the following findings on a prenatal visit at 10 weeks might suggest a hydatidiform mole?
a. Complaint of frequent mild nausea b. Blood pressure of 120/80 c. Fundal height measurement of 18 cm d. History of bright red spotting for 1 day weeks ago
The nurse plans programming at a nursing home understanding that the defining impairment that affects almost all residents in a nursing home is
a. Alzheimer's disease or other cognitive deficit. b. impairment in ability to perform activities of daily living (ADL). c. profound hearing loss or other unspecified sensory deficit. d. severe, progressive visual deficit.