A postpartum client reports calf discomfort when the nurse supports her left knee and dorsiflexes her foot. Which of these actions should the nurse take?
a. Allow the client to rest, and reassess her later in the shift.
b. Chart this finding as a negative Homans' sign.
c. Massage the affected calf, and apply moist heat.
d. Report this finding to the health care provider at once.
D
Both the hemoglobin and hematocrit rise by the 7th day, unless excessive blood loss occurs. There is an increased risk for clots because of increased levels of clotting factors. Clients who have varicose veins, a cesarean birth, or a history of thrombophlebitis are at greater risk for thrombus formation. The health care provider should be contacted immediately if a client exhibits any sign of thrombus formation.
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A nurse completing a hospital discharge to home understands that which of the following interventions is most important before discharge
a. Medication reconciliation b. Providing a list of community resources c. Contacting a durable medical equipment facility d. Educating the client on appropriate range-of-motion exercises
Nurses are legally required to document medications administered to patients. The nurse is mandated to document which of the following?
a. Medication after administration b. Medication before administration c. Rationale for giving a questionable incor-rect dosage d. Concerns about giving the medication
Which of the following are the most effective for pain relief?
1. Barbiturates 2. Benzodiazepines 3. Opioids 4. Stimulants
Which statement is appropriate to begin an interview with a new client?
a. "Have you ever been a client in this specific clinic before?" b. "What is your purpose for coming to the clinic today?" c. "Tell me a little about yourself and your family." d. "Did you have any difficulty finding this clinic?"