K.B. is a 16-year-old who fell while skiing. she briefly lost consciousness but is now alert and oriented. she
was transported down the hill by the ski patrol after being stabilized and then was flown to the hospital.
she has a fractured right femur and humerus. she will be admitted to your unit after an open reduction
and internal fixation (ORIF) of the femur fracture and casting of her leg and arm.
You are taking the report from the postanesthesia care unit (PACU) nurse. K.B. is awake and
taking ice chips. What information will you document on the patient admission form?
• K.B.'s vital signs, weight and allergies
• Focused assessment (neurologic status, intake and output [status including recent voids,
respiratory status, O2
saturation, breath sounds, neurovascular status—color, sensation,
movement, pulses)
• Intravenous line, fluid type, and rate
• Pain assessment: history of pain medication and response; intraoperative medications
administered
• Review of medical orders
• Any concerns regarding response to anesthesia
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A) They are relatively accurate and precise B) They can be used to measure most outcomes of interest to nurses C) They are objective, requiring minimal inference D) They are typically cost-effective because they are available for clinical purposes
Postoperative teaching for the client who has undergone carpal tunnel surgery will include:
a. teaching the client to keep the affected arm in a sling with zero movement b. instructing the client on exercises that pro-mote twisting and turning of the wrist c. encouraging the client to perform repetitive hand movements to rehabilitate the affected area d. teaching the client the purpose of the wrist brace, duration of use, and range of motion exercises
Which nursing intervention should the nurse use to enhance healing of a 1-week-old par-tial-thickness wound?
A. Removing necrotic tissue to stimulate the growth of granulation tissue B. Restricting the client's fluid intake to prevent the wound from becoming too wet C. Decreasing the amount of oxygen available to the wound to discourage bacterial growth D. Applying ice or cold compresses to the wound to reduce or prevent edema forma-tion
Which drug for high blood pressure is a beta blocker?
a. Verapamil b. Telmisartan c. Captopril d. Propranolol