A patient who has a cast on his arm is experiencing pain and tightness in his arm, along with sluggish capillary refill. The nurse suspects compartment syndrome. Which of the following would be the appropriate intervention for this patient?
A) Raise the arm above the patient's head and monitor swelling every 15 minutes; call the physician if swelling continues over 24 hours.
B) Immediately bivalve the cast to relieve pressure.
C) Adjust the arm so that it is no higher than the heart level and call the physician immediately.
D) Provide stronger pain medication and assess vital signs every half hour for 24 hours before calling the physician.
C
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A 30-year-old woman has recently moved to the United States with her husband. They are living with the woman's sister until they can get a home of their own. When company arrives to visit with the woman's sister, the woman feels suddenly shy and retreats
to the back bedroom to hide until the company leaves. She explains that her reaction to guests is simply because she does not know how to speak "perfect English." This woman could be experiencing: a. Culture shock. b. Cultural taboos. c. Cultural unfamiliarity. d. Culture disorientation.
A woman with hypertension is experiencing infertility. After reviewing her medication list, which medication does the nurse advise the woman to discuss with her primary care provider?
A. Atenolol (Tenormin) B. Enalapril (Vasotec) C. Isosorbide dinitrate (Isordil) D. Methyldopa (Aldomet)
In addition to heart rate, blood pressure, respiratory rate, and temperature, the nurse needs to assess a patient's arterial oxygen saturation (SaO2). What procedure will best accomplish this?
A) Incentive spirometry B) Arterial blood gas (ABG) measurement C) Peak flow measurement D) Pulse oximetry
The mother of a 10-month-old infant tells the nurse that her infant "really likes cow's milk." What is the nurse's best response to this mother?
a. "Milk is good for him." b. "It is best to wait until he is a year old before giving him cow's milk." c. "Limit cow's milk to his bedtime bottle." d. "Mix his cereal with cow's milk and give him formula in a bottle."