Which statement made by a client's spouse indicates the need for more teaching about prevention of a pulmonary embolism at home after major abdominal surgery?
A. "While he is awake, I will make sure he gets up and walks for at least 5 minutes every 2 hours."
B. "He is prone to constipation, so I will increase the amount of fiber in his meals every day."
C. "I will massage his feet and legs twice a day to help blood return."
D. "I will check his breathing rate and level twice a day."
C
It is possible that massaging the feet and legs could promote venous return; however, there is a greater danger of loosening a clot that may have formed in the deep veins of the legs, which would allow it to move. Thus, after surgery, the feet and legs of a client should never be mas-saged.
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The nurse performs an assessment on four hospitalized pediatric clients. After reviewing each client's admitting diagnosis, which pediatric client may have an enlarged spleen?
1. 14-year-old admitted with acute gastroenteritis. 2. 17-year-old admitted with an acute exacerbation of asthma. 3. 11-year-old admitted with an umbilical hernia. 4. 9-year-old admitted with a sickle cell crisis.
A 50-year-old client has developed a large wound postabdominal surgery 4 months ago. The client was hospitalized for surgical debridement and will be going home tomorrow
Which of the following actions by the home care nurse would demonstrate she understands her role in wound care? (Select all that apply.) A) Encouraging the client and family to keep a nutritional log to document nutrition intake B) Focus all instruction solely on the client, letting him tell the family what he wishes C) Instruct the family not to use pain medication to prevent the client from becoming dependent on the drugs D) Review the wound care protocol with the client and caregivers E) Educate the client and family members about signs and symptoms of infection
Indinavir is added to a patient's antiviral medication regimen. How should this drug be stored at home?
1. At room temperature in the package supplied by the manufacturer 2. In the refrigerator, protected from light 3. In a plastic pill minder with other medications 4. Anywhere; storage is not an issue with this medication
A nursing faculty is presenting a lecture on ethics. The correct definition of ethical distress is:
a. belief about worth as a standard to guide behavior b. knowing the correct action, but unable to perform due to constraints c. supporting the rights of a client during hospitalization d. being aware of the principles of right and wrong