When bathing a patient with a deep vein thrombosis in the left leg, the nurse will modify the attention to the left leg by:
a. washing the leg with long, firm strokes and drying with a towel.
b. omitting washing the leg at all.
c. gently washing the leg and patting dry with a towel.
d. applying lotion in long, smooth strokes.
C
The lower extremities of people with circulatory disorders are gently washed and patted dry, omitting any stroking or massaging.
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Which assessment would lead the nurse to examine the leg closely for evidence of a stasis ulcer?
a. Cool dry lower limb b. Edematous, red scaly skin on medial surface of the leg c. Lack of hair and shiny appearance of the lower leg d. Lack of a pedal pulse
In administering vitamin K to the infant shortly after birth, the nurse understands that vitamin K is:
a. Important in the production of red blood cells. b. Necessary in the production of platelets. c. Not initially synthesized due to a sterile bowel at birth. d. Responsible for the breakdown of bilirubin and the prevention of jaundice.
Ethical standards are
A. guides to legal behavior. B. acts that contribute to illegal behavior. C. acts of wrongdoing. D. principles of moral behavior.
Following a visit from his family, the 55-year-old male patient with terminal cancer tearfully says, "I am so afraid" and begins to cry. Which response is most supportive?
a. "Would you like to have your pain medication now?" b. "Let's talk about the things that make you afraid." c. "Would you like for me to call the hospital chaplain." d. "I will leave to give you some privacy."