The nurse is caring for a patient with a traumatic wound. What is the best way to describe the size of the wound?
A) Actual measurements in three dimensions
B) Compare to size of a common object
C) State percentage of body affected
D) Diameter at widest part in centimeters
A
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A patient is preparing to undergo magnetic resonance imaging for possible diagnosis of cerebral infarction. What is the nursing priority in preparing the patient for this diagnostic study?
A) Checking the patient's history for renal insufficiency, which could complicate use of a contrast medium. B) Confirming that the patient does not have any ferrous surgical clips or implants. C) Determining whether the patient is on anticoagulant therapy, which would be a contraindication. D) Preparing an 18-gauge needle for insertion.
The labor/delivery nurse is caring for a 33-year-old who is in labor with her first child. The patient complained to the nurse about the hemorrhoids that she has experienced during the last month of her pregnancy
She asks, "what can I do to prevent future problems with hemorrhoids?" What is the nurse's best response? a. "Hemorrhoids are caused by defecation of stools that are loose and watery." b. "You need to soften your stools by drinking plenty of fluids." c. "You should eat less carbohydrates." d. "There is nothing that you can do to prevent hemorrhoids."
The nurse is assessing a client following a myocardial infarction. The client is hypotensive. What additional assessment finding does the nurse expect?
a. Heart rate of 120 beats/min b. Cool, clammy skin c. Oxygen saturation of 90% d. Respiratory rate of 8 breaths/min
Which foods are allowed on a clear liquid diet?
a. Custard, eggnog, and plain ice cream b. Water, tea, and coffee c. Fruit juices and fat-free clear broth d. Hard candy and ice cream