The nurse receives a patient from the recovery room following total hip replacement surgery. What will the nurse include when assessing neurovascular status on this patient? (Select all that apply.)
a. Pupils
b. Pain
c. Sensation
d. Color
e. Skin temperature
ANS: B, C, D, E
One of the responsibilities of the nurse is to frequently monitor the patient's neurovascular function, or circulation, movement, and sensation (CMS) assessment. The LPN/LVN checks for skin color, temperature, movement, sensation, pulses, capillary refill, and pain. Pupil assessment is part of a neurologic assessment.
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An older adult patient has been using levothyroxine (Synthroid) for several years on an outpatient basis. The patient has recently sought care, with complaints that are consistent with hypothyroidism
To which of the patient's following statements may the nurse attribute the decreased effect of Synthroid? A) "I've been using a lot of antacids lately because of my indigestion." B) "My daughter and I have started the Atkin's diet to try to lose some weight." C) "Overall, I'd say that I'm under a lot of stress lately." D) "I've stopped taking aspirin for my arthritis and started using Tylenol."
The nurse is planning care for a client with epilepsy. Which precautions does the nurse implement to ensure the safety of the client while in the hospital? (Select all that apply.)
a. Have suction equipment at the bedside. b. Place a padded tongue at the bedside. c. Permit only clear oral fluids. d. Keep bed rails up at all times. e. Maintain the client on strict bedrest. f. Ensure that the client has IV access.
The nurse is teaching the students in their obstetric rotation about fertilization. What processes must the sperm undergo before fertilization can occur?
1. Capacitation and ovulation 2. Capacitation and the acrosomal reaction 3. Oogenesis and the acrosomal reaction 4. Gametogenesis and capacitation
The client receives amphotericin B (Fungizone) for histoplasmosis. What does the best assessment by the nurse include?
1. Serum amylase 2. Serum sodium 3. Blood urea nitrogen 4. Serum glucose 5. Serum creatinine