What should the nurse do to decrease the potential for a deep vein thrombosis (DVT) in a patient who is a paraplegic from a spinal cord injury?
a. Massage the patient's legs daily
b. Perform passive range-of-motion exercises
c. Encourage frequent warm baths
d. Allow the patient's legs to dangle for a period of 10 minutes several times a day
ANS: B
DVTs are a problem for patients with a spinal cord injury. Passive range-of-motion exercises manipulate the muscles, which improves venous return, reducing the probability of DVT.
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The nurse is caring for an adult client with a pituitary tumor resulting in acromegaly. Which of the following assessment findings would be consistent with this diagnosis?
1. Sudden growth spurt to seven feet or more 2. Enlarged hands, feet, and internal organs 3. Increased muscular strength in the upper body 4. Increase in own gender sexual hormone levels
The nurse is caring for a patient who has a diagnosis of AIDS. Inspection of the patient's mouth reveals the new presence of white lesions on the patient's oral mucosa. What is the nurse's most appropriate response?
A) Encourage the patient to gargle with salt water twice daily. B) Attempt to remove the lesions with a tongue depressor. C) Make a referral to the unit's dietitian. D) Inform the primary care provider of this finding.
Which percentage of homeless women with children have been victims of domestic abuse?
1) 15% 2) 25% 3) 50% 4) 75%
Family dynamics are thought to be a major influence in the development of anorexia nervosa. Which information related to a client's home environment should a nurse associate with the development of this disorder?
A. The home environment maintains loose personal boundaries. B. The home environment places an overemphasis on food. C. The home environment is overprotective and demands perfection. D. The home environment condones corporal punishment.