The nurse is planning care for a patient who was diagnosed with deep vein thrombosis (DVT). What should be included in this plan of care?
A. Activity as tolerated.
B. Measure and apply elastic antiembolism stockings.
C. Assist patient with putting on tight-fitting pants.
D. Encourage the patient to sit out of bed several hours every day.
Answer: B
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The nurse working in labor and delivery knows that which infant is at highest risk of having a long-bone fracture?
A. Intrauterine growth restriction B. Mother with osteoporosis C. Multiples with one breech presentation D. Premature
The nurse suspects a patient has a pleural effusion. Which of the following respiratory findings would the nurse expect to find upon assessment of the patient?
A) Increased tactile fremitus, egophony, and a dull sound upon percussion of the chest wall B) Decreased tactile fremitus, wheezes, and a hyperresonant sound upon percussion of the chest wall C) Lung fields dull to percussion, tactile fremitus absent, and breath sounds absent D) Normal tactile fremitus, decreased breath sounds, and a resonant sound upon percussion of the chest wall
A client who is 2 days postoperative from a bowel resection tells her nurse that she is having a hard time "catching her breath," feels nauseated, and has chest pains when she inhales. The nurse suspects that she is having a pulmonary embolism
What intervention should the nurse perform before notifying the physician? A. Increase the IV flow rate. B. Apply oxygen by mask or nasal cannula at 5 L/min. C. Assess the chest and axillary area for the presence of petechiae. D. Place the client in shock position, with her head and neck flat and her legs ele-vated.
In order to assist an older diabetic patient to engage in moderate daily exercise, which action is most important for the nurse to take?
a. Determine what type of activities the patient enjoys. b. Remind the patient that exercise will improve self-esteem. c. Teach the patient about the effects of exercise on glucose level. d. Give the patient a list of activities that are moderate in intensity.