The nurse prepares a client for a lower extremity angiogram. What information does the nurse include in client teaching to prevent a postprocedure hemorrhage?
1. Dye injection makes most clients feel warm.
2. Sedation makes clients sleepy but cooperative.
3. Logrolling onto a bedpan enables clients to void.
4. Postprocedure analgesia manages client discomfort.
3
3. The nurse explains that logrolling helps to keep the client's hips and knees straight for 6 to 12 hours after the procedure. The nurse also explains that flat straight ex-tremities allow adequate hemostasis to prevent postprocedure bleeding by protecting the integrity of the insertion site.
1, 2, and 4. Contrast dye, moderate sedation, and analgesia are not as directly related to postprocedure bleeding as client positioning is.
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A nurse is doing an assessment on his patient for peripheral neurovascular dysfunction. What assessment findings may indicate to the nurse peripheral neurovascular dysfunction?
A) Pale, warm skin with a capillary refill of 1 to 2 seconds B) Absence of feeling, capillary refill of 4 to 5 seconds and cool skin C) Pain, increased motion, and redness of the skin D) Jaundiced skin, weakness in motion, and capillary refill of 3 seconds
In evaluating the effectiveness of magnesium sulfate for the treatment of preterm labor, what finding would alert the nurse to possible side effects?
a. Urine output of 160 ml in 4 hours b. Deep tendon reflexes 2+ and no clonus c. Respiratory rate of 16 breaths/min d. Serum magnesium level of 10 mg/dl
A female client has made the decision to leave her alcoholic husband. She is feeling very depressed. Which statement by the nurse best conveys empathy?
A) "I know you are feeling very depressed right now. I felt the same way when I decided to leave my husband. But I can tell you from personal experience, you are doing the right thing." B) "I can understand that you are feeling depressed right now. It was a very difficult decision to make. I'll sit here with you for awhile." C) "I am very sorry you are going through this difficult time. I wish things could be better for you." D) "It is a sad thing to have to break up a marriage. It's unfortunate that it didn't work out for you."
A patient who works in a non-air conditioned manufacturing plant is experiencing weakness and a headache. The patient's skin is cool and clammy, temperature is slightly elevated, and pulse rate is rapid
For which health problem should the nurse plan care for this patient? a. Heatstroke b. Heat cramps c. Heat exhaustion d. Initial signs of infection