A nurse is caring for a client whose leg is wrapped in a bandage. What should the nurse
keep in mind in such a case?
A) Bandage should be released every 2 hours
B) Toes should be warmer than the rest of the body
C) Digits should be assessed by applying light pressure
D) Body temperature should be assessed every 2 hours
C
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A patient wishes to use complementary therapy when managing a chronic health condition. Which action by the nurse is most appropriate?
A. Advise the patient that stopping medical treatment may cause it to worsen. B. Inform the patient that there are no complementary therapies for this condition. C. Investigate herbs that can be substituted for prescription drugs. D. Suggest the patient add massage therapy to the medical regimen.
The nurse is caring for an adolescent client who is hospitalized with asthma. Several peers are preparing to visit the client and have brought gifts. Which gift will the nurse prevent from being placed in the client's room?
1. Magazines. 2. Candy. 3. MP3 player. 4. Fresh flowers.
The nurse is planning interventions to achieve the goal of maintaining glycemic control for an older patient with type 2 diabetes mellitus. Which interventions will the nurse include in this patient's plan of care? Select all that apply.
1. Teach to prevent hypoglycemia. 2. Emphasize the role of physical exercise. 3. Review the manifestations of complications. 4. Stress the importance of avoiding carbohydrates. 5. Instruct in self-monitoring of blood glucose levels.
The nurse is teaching a community education class on warning signs of stroke and transient ischemic attacks (TIAs). What should be included in this presentation? Select all that apply.
A. Sudden trouble walking, dizziness, or loss of coordination B. Sudden weakness or numbness of the face, arm, or leg, especially on one side of the body C. African Americans are a high-risk group for strokes D. Sudden confusion, difficulty speaking, or difficulty understanding speech E. Arrival time at the hospital should be within three hours of onset for drugs to be effective