A patient reports acute pain and numbness in the left leg. The nurse notes the left leg is pale and cooler than the right leg. What should the nurse do?

a. Elevate the left leg.
b. Apply an extra blanket to the left leg.
c. Administer pain medication.
d. Notify the RN.


ANS: D
D. Notify the RN immediately as the patient needs immediate intervention to preserve circulation in the leg. A. Elevating the leg would be contraindicated as it would decrease blood flow further. B and C. Restoration of circulation is needed rather than a blanket or pain medication.

Nursing

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When reading research reports, which characteristic is not positive?

A) The problem statement is easy to locate. B) The material is in logical order. C) The null hypothesis is stated. D) Key concepts are clearly stated.

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A nurse plans to administer to a patient a fluid challenge for the purpose of establishing normal renal perfusion. What does this treatment involve?

1. Infusing 250 mL of 0.9% sodium chloride over 1 hour 2. Administering albumin intravenously, followed by furosemide 3. Infusing 500 mL of normal saline over a 30-minute period 4. Giving twice the amount of IV fluid each hour compared to urinary output

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