The nurse is planning to bathe a client who has thigh-high antiembolism stockings in place. Which of the following actions is correct?
A) Remove the antiembolism stockings during the bath.
B) Leave the antiembolism stockings in place, but be sure to remove all wrinkles.
C) Fold the antiembolism stockings half-way down to allow assessment of the popliteal pulse.
D) Leave the antiembolism stockings in place and spot-clean any soiled areas on the stockings.
Ans: A
Antiembolism stockings should be removed periodically to allow for assessment.
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The nurse discusses medication use with the older adult who has arthritis, asthma, and glaucoma. Which of the following information should be included in the teaching?
A) Use over-the-counter cold medications as needed. B) Apply the dorzolamide (Trusopt) drops 1 minute after the pilocarpine. C) Avoid stool softeners and laxatives. D) Take ibuprofen as directed for the arthritis pain.
The nurse believes a patient is experiencing prerenal dysfunction and not intrinsic renal failure because of which laboratory finding?
1. Urine osmolality of 200 mOsm/L 2. Urine osmolality of 550 mOsm/L 3. Urine sodium greater than 40 mmol/L 4. Presence of granular casts and sediment
Client teaching is not restricted to caring for the present condition, but also includes information to __________ a __________ __________
Fill in the blank with correct word
A nurse on a psychiatric unit is assigned to work with a Mexican American client. The nurse knows little about the Mexican American culture. Her best action is to:
A. Plan to go to the hospital library during break to read about Mexican Americans in Transcultural Nursing by Giger and Davidhizar. B. Indicate to the nurse making assignments that this is not a good assignment, since she is not familiar with Hispanic culture. C. Assess and clarify cultural values and variations with the client as the nurse and client interact during the shift. D. Apply what she learned about Hispanics from a movie she recently saw that took place in Mexico and depicted the culture and lifestyle of a wealthy Spanish family.