The client is postoperative from a left-sided mastectomy. She says that the incision and the inner side of her arm from the armpit to the elbow are numb. What is the nurse's best action?
A. Teach the client to avoid lifting heavy objects.
B. Measure the circumference of the client's left arm.
C. Document the finding as the only action.
D. Notify the surgeon.
C
The nerves supplying the skin in the area were injured during surgery, decreasing sensation to the area. These problems frequently resolve over time.
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The best way to minimize the risk of pneumonia in a residential care facility is to
A) immunize residents prior to influenza season. B) have all residents wear surgical face masks when coughing or sneezing. C) have all staff wear surgical face masks during winter months. D) place all used facial tissues in red bag marked "contaminated".
As the nurse makes night rounds on sleeping clients, several clients are noted to be breathing very slowly. Stages of NREM sleep account for some decreased physiological functions
Identify the stage that correlates to the choice given: Standard Text: Click and drag the options below to move them up or down. 1. Lasts only a few minutes. 2. Light sleep; body continues to slow down. 3. Sleeper difficult to arouse 4. Heart and respiratory rates 20–30% below waking rates
Which is true regarding the habit training technique prompted voiding? (Select all that apply.)
a. Is useful with cognitively impaired per-sons b. Helps the patient to recognize inconti-nence c. Is based on giving praise for staying dry d. Strengthens the pelvic floor e. Uses the Valsalva maneuver to force urine from bladder
The nurse recognizes which of the following clients as being at greatest risk for anaphylactic shock?
1. A 69-year-old client receiving an antibiotic for a respiratory tract infection 2. A 45-year-old prescribed a decongestant as needed for seasonal allergies 3. A 50-year-old client prescribed a therapeutic dose of an antihypertensive medica-tion 4. A 26-year-old receiving intravenous steroids for the initial flare-up of rheumatoid arthritis