When doing a neurovascular assessment on an individual with a fracture, which of the following is most important when assessing pulses?
a. Press over the area of the pulse with one or bothof the first two fingers
b. Palpate pulses distal to the injury; comparebilaterally.
c. Enquire about feelings of numbness or tingling.
d. Have the individual move the area distal to the
injury.
b
Assess and compare a distal pulse on the unaffected side
with the same pulse location on affected side. The important
thing in assessing distal pulses is to take a pulse on the unaffected side and then on the affected side with the comparable
pulse point and compare the two for rate, rhythm and quality.
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The operating room nurse assisting with the surgical removal of an adrenal tumor is aware that the patient's vital signs may change upon manipulation of the tumor. The vital sign changes that the nurse may expect to see include:
A) Hyperthermia and tachypnea B) Hypertension and heart rate changes C) Hypotension and hypothermia D) Hyperthermia and bradycardia
The nurse manager is planning to apply structural empowerment theory by providing access to professional development programs. The manager understands that this intervention is likely to support which domain of psychological empowerment?
1. Impact 2. Meaning 3. Competence 4. Self-determination
A 30-year-old nonpregnant client is prescribed misoprostol. Which of the following should the nurse instruct the client as part of the teaching plan?
A) Swallow the tablet 1 hour before eating. B) Administer the drug 1 hour before travel. C) Do not chew, open, or crush the tablet. D) Use a reliable contraceptive method.
The care plan for a patient with a personality disorder contains the following interventions: demonstrate accessibility, maintain confidentiality, and maintain consistent behavior by all nursing staff. The goal of these interventions is the:
a. patient's serotonin levels will stabilize. b. patient will not engage in self-mutilation. c. patient will participate in therapeutic nurse-patient relationships. d. patient will not use manipulation as a way of relating to staff and family.