A.N. has one area of circumferential burns on her right lower leg. What complication is she
in danger of developing? How will you monitor for it?
What will be an ideal response?
• She is in danger of developing compartment syndrome distal to the circumferential area. You
need to closely monitor the foot for signs of decreased circulation or sensation. Compare the feet
bilaterally for quality of pulses, warmth, color, capillary refill, level of sensation, swelling, and pain.
• Report immediately signs of decreased circulation or sensation.
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A 26-year-old man is receiving interferon alfa-2a for AIDS-related Kaposi sarcoma. His physician has also prescribed theophylline for his asthma
The nurse is aware that combining interferon alfa-2a and theophylline can result in which of the following? A) Hypertension B) Toxicity C) Anorexia D) Hypothyroidism
What is the purpose of sand paintings when diagnosing illness in the Navajo American Indian culture?
A. Determines the cause and treatment of the illness B. Ensures that appropriate payment is made by the family C. Provides an atmosphere of calm for the medicine man D. Creates symbolic representations of the client and family
The postoperative vital signs of an average-sized adult client are BP, 110/68; P, 54; R, 8 . The client appears pale, disoriented, and has minimal urinary output. Which of the following actions should the nurse take?
a. Retake the vital signs in 30 minutes. b. Continue with care as planned. c. Administer a stimulant. d. Notify the physician.
Typical signs of a child with iron deficiency anemia include all of the following except:
1. Tachycardia. 2. Bradycardia. 3. Thinning of hair. 4. Shortness of breath.