The nurse applies a circumferential gauze dressing to a patient's amputated leg. Which method should the nurse use to decrease edema in the extremity?
a. Montgomery straps
b. An adhesive tape wrap
c. A figure-eight wrap
d. A circular turns dressing
C
The nurse applies a dressing around the extremity using the figure-eight method to avoid restric-tion of blood flow and main venous return. This allows the dressing to be anchored by wrapping gauze in alternating directions that ascend and descend with oblique, overlapping turns. The ter-minal end of the dressing is secured with a short piece of tape, taking care not to restrict blood flow in any manner. Montgomery straps are contraindicated for dressing an extremity because the circumference is usually too small to make them practical. Adhesive tape potentially con-stricts blood flow to the extremity if it is wrapped tightly over itself in a circumferential manner. Circular turns dressings are used on small parts like fingers or toes, but are too constricting to use on larger body parts.
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To establish an effective relationship with the patient in pain, the nurse should begin the assessment by saying:
a. "I'll check to see if you can have anything." b. "Let me give you a backrub and see if it helps." c. "I believe you are in pain." d. "When was your last medication for pain?"
The nurse is collecting objective data from the client with lymphedema of the left leg. The nurse observes that the affected leg is 10 cm greater in measurement than the unaffected leg. The affected leg is hot to the touch and red
What classification of lymphedema does the nurse recognize this client has? A) Grade I (Mild) B) Grade II (Moderate) C) Grade III (Severe) D) Grade IV (Extreme)
During class, a student states, "I didn't think children could have strokes. I thought this only occurred in older adults"
When responding to the student, which of the following would be most important for the instructor to integrate into the response? A) Strokes in children often have an identifiable cause. B) The signs and symptoms in children are different from an adult. C) Research has identified specific treatments for children. D) Ischemic strokes are more common than hemorrhagic strokes.
In which role are the most differences seen between the APHN and the NP?
a. Administrator b. Clinician c. Consultant d. Educator