The nurse finds a 2-day postoperative patient who had a right total hip replacement lying supine with crossed legs. What data should the nurse collect on this patient?
a. The right leg for shortening
b. The right knee for crepitation
c. The left leg for internal rotation
d. The left leg for loss of function
ANS: A
Crossing the legs puts the hip at risk for dislocation. Symptoms are pain in the affected hip, shortening of the leg, and possibly rotation of the surgical leg. B. The patient did not have surgery on the right knee. C. D. The patient did not have surgery to the left limb.
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The nurse is caring for a patient with advanced colon cancer. The patient is to have surgery to relieve a bowel obstruction that has been causing unrelenting vomiting and abdominal pain. What type of surgery will this patient undergo?
a. Palliative b. Reconstructive c. Diagnostic d. Ablative
Which action can reduce the risk of skin impairment secondary to urinary incontinence?
a. Decreasing fluid intake b. Catheterization of the elderly patient c. Limiting the use of medication (diuretics, etc.) d. Frequent toileting and meticulous skin care
__________ is a method of removing surface layers of scarred skin
Fill in the blank(s) with correct word
Describe the signs to look for to determine that a person has experienced a grand mal seizure.
A. Periods of alternating muscle contractions and relaxation, resembling a jerking motion, are present. B. Confusion, fatigue, and muscle soreness usually follow the seizure. C. Increases in blood pressure and heart rate, urination, and defecation are common. D. All of the above are correct.