A post op shoulder repair patient (post op day 3) reprots left calf pain. The nurse finds redness and swelling on assessment. What complications best explains these findings?
A. positioning injury during surgery
B. wound infection
C. Atelectasis
D. deep vein thrombosis
Ans: D. deep vein thrombosis
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The nurse is explaining to the family of an elderly client who is near death that care given to the client is palliative. The nurse determines that the family did not understand the teaching when the family states:
1. "Our father will be made as comfortable as possible." 2. "Our father will no longer receive food or fluids." 3. "Our father will not be in pain." 4. "Our father can have a minister visit."
Inspection of the male urethral orifice requires the examiner to:
a. ask the patient to bear down. b. insert a small urethral speculum. c. press the glans between the thumb and forefinger. d. transilluminate the penile shaft.
The nurse is assessing a female's breasts. The nurse finds both breasts rounded and slightly unequal in size, skin smooth and intact, and nipples without discharge. What is the nurse's next action?
A) Notify the physician. B) Document the findings in the nurse's notes as abnormal. C) Document the findings in the nurse's notes as normal. D) Notify the charge nurse.
The 4-year-old child is undergoing cardiac surgery. Which nursing action will reduce the child's stress in the preoperative period? Select all that apply
1. Explain the procedure to the child in simple terms of what the child will see, hear, and feel while awake. 2. Explain to the child that the surgery will fix her "broken" heart. 3. Allow the parents to accompany the child to the surgical holding room and wait with the child. 4. Allow the child to hold onto their special "teddy bear" while awake. 5. Wait until the child is in the holding room to insert the Foley catheter.