The nurse is reviewing the orders for a patient who was admitted for 24-hour observation of a leg fracture. A cast is in place. Which order does the nurse question?
a) Elevate the lower leg above the level of the heart.
b) Perform neurovascular assessments ("circ checks") every 8 hours.
c) Apply ice packs for 24 hours.
d) Provide regular diet as tolerated.
Answer: b) Perform neurovascular assessments ("circ checks") every 8 hours.
You might also like to view...
A patient is receiving furosemide (Lasix) and a potassium supplement. When monitoring daily laboratory values, what should the potassium level be for this patient?
A) 1.5 to 3.0 mEq/L B) 3.5 to 5.0 mEq/L C) 5.0 to 7.5 mEq/L D) 6.0 to 6.5 mEq/L
The student nurse is to perform Leopold's maneuver on a laboring client. Which assessment requires intervention by the staff nurse?
1. Client is assisted into supine position, and the position of the fetus is assessed. 2. The upper portion of the uterus is palpated, then the middle section. 3. After determining where the back is located, the cervix is assessed. 4. Following voiding, the client's abdomen is palpated from top to bottom.
An unresponsive 79-year-old is admitted to the emergency department (ED) during a summer heat wave. The patient's core temperature is 105.4° F (40.8° C), blood pressure (BP) 88/50, and pulse 112. The nurse initially will plan to
a. apply wet sheets and a fan to the patient. b. provide O2 at 6 L/min with a nasal cannula. c. start lactated Ringer's solution at 1000 mL/hr. d. give acetaminophen (Tylenol) rectal suppository.
A 17-year-old was admitted to the adolescent unit after cutting his wrist with a knife. The wound was treated and bandaged by the ED staff. Which of these basic needs should be given highest priority by the nurse?
1. Food 2. Comfort 3. Love and belonging 4. Safety