A nurse is caring for the older patient who had knee replacement surgery 8 days ago. What assessment by the nurse is most important?
a. Determining whether the patient has sen-sation to the foot
b. Asking the patient to rate his or her cur-rent pain.
c. Observing the incision site for redness or drainage.
d. Monitoring the calf circumference on the affected side
D
Major complications after joint replacement surgery include thromboembolism (deep venous thrombosis [DVT]), joint or wound infection, blood loss, nerve injury, joint dislocation, and sur-gical pain. The risk of DVT is highest between the first and second week after surgery. An in-crease in calf circumference can indicate the presence of a DVT. The other assessments are ap-propriate but not as critical.
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A patient's medication administration record orders the IM administration of chlorpromazine. When administering this drug, the nurse should
A) observe the patient while he or she self-administers the drug. B) administer the drug into the deltoid muscle with a 1 1/2-inch needle. C) have the patient massage the injection site for 1 to 2 minutes after the injection. D) have the patient lie down for 30 to 60 minutes after the injection.
A hospital director of nursing (DON) establishes a hospital-wide committee to process the Institute of Medicine (IOM) report "The Future of Nursing:
Leading Change, Advancing Health" and to create unit-based activities that support its recommendations. A unit manager asks about the importance of the endeavor. What response by the DON is best? a. If nursing doesn't change with the times, the future of the discipline is threatened. b. Nursing has to remodel itself according to the mandates of the report. c. Operationalizing the report allows nurses to drive health care reform. d. Patient safety will be adversely affected if nursing doesn't transform itself.
The process through which a drug leaves the body through urine, sweat, feces, or other body secretions is called ________.
Fill in the blank(s) with the appropriate word(s).
A child has presented to the clinic with diarrhea. The nurse should teach the mother to give which of the following to properly care for her child?
What will be an ideal response?