The nurse is caring for a patient recovering from a cardiac catheterization. Which actions for site care should the nurse take?
a. Keep the site uncovered.
b. Apply a Band-Aid to the site.
c. Maintain pressure dressing on the site.
d. Apply a gauze bandage to the puncture site.
ANS: C
Pressure is maintained at the site with a pressure dressing or sandbag to prevent bleeding and hematoma development. A. B. D. These actions could promote bleeding at the site and should not be done.
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Which of the following statements is true about the mental health of older adults?
a. Nurses should discourage denial and re-gression so older adults can directly face underlying causes of anxiety. b. Anxiety is easily distinguished from de-pression, dementia, and the effects of dis-ease or medication. c. Compulsive rituals surrounding toileting and sleep are signs of a serious mental disorder. d. The nurse avoids antianxiety medications without an assessment for factors asso-ciated with anxiety.
A patient is diagnosed with giant cell arteritis (GCA) and is placed on corticosteroids. A concern for this patient is that he will stop taking the medication as soon as he starts to feel better
Why must the nurse emphasize the need for continued adherence to the prescribed medication? A) To avoid complications such as venous thromboembolism B) To avoid the progression to osteoporosis C) To avoid the progression of GCA to degenerative joint disease D) To avoid complications such as blindness
The nurse teaches the client's caregiver to monitor fluid balance at home. Which does the nurse include in client teaching?
1. Record the number of times the client urinates. 2. Disregard puddings or ice cream in oral intake record. 3. Record the amount of fluid loss, including perspiration. 4. Disregard stool because is contains a small fluid volume.