What assessment do you need to complete?
What will be an ideal response?
Check temperature, capillary refill, quality of peripheral pulses, sensation, and color in both feet.
Note swelling and pain in the fractured leg. Compare the findings between the fractured leg and the
unaffected leg.
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A nurse from the ICU receives a report from the ED nurse on a patient that includes a diagnosis of syncope unknown etiology. Orthostatic VS lying: 110/80 mm/Hg; sitting: 100/74 mm/Hg; standing: 92/40 mm/Hg
Based on this information, the nurse should monitor the patient's a. breathing. c. peripheral pulses. b. dietary intake. d. activity.
A client with a diagnosis of eczema has been prescribed an inunction and the nurse is performed relevant client education. What instruction should the nurse provide in order to ensure that the client correctly self-administers this medication?
A) "Remove the hair from any area where you need to apply your medication." B) "If you find the medication difficult to apply, you can dilute it slightly with tap water." C) "Make sure that the skin where you'll apply your medication is clean and dry." D) "Put ice on your skin for a few seconds before you rub in the medication to help absorption."
An adolescent female is diagnosed with fibrocystic breast disease. What advice can the nurse provide the adolescent about this diagnosis?
A) Caffeine may increase the size of lesions. B) Fibrocystic lesions are precancerous lesions. C) Lesions will fade with the full growth of breasts. D) The lesions make breast self-examination ineffective.
Zidovudine (Retrovir) has been prescribed to a client with HIV. The client asks why it is given in combination with other medications to treat HIV. What should the nurse include in the teaching session for this client?(Select all that apply.)
1. The combination will cure HIV. 2. The combination allows HIV to be attacked by several different mechanisms. 3. Strains of HIV resistant to zidovudine are common. 4. The combination slows the development of resistance. 5. The combination is more cost effective.