When turning the patient who is in Crutchfield tongs traction, the nurse will:
a. turn the patient as a unit by log rolling.
b. release the weights to prevent injury while turning.
c. turn quickly to avoid muscle spasms.
d. advise the patient to hold his breath and bear down during turning.
A
Turning the patient as a unit by log rolling with the weights in place immobilizes the affected vertebrae and maintains alignment. Releasing the weights or turning quickly will affect vertebrae and alignment. Deep breathing will decrease muscle tension.
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An example of a "focal" brain injury is
A) an axonal injury. B) hypoxic brain damage. C) multiple small hemorrhages. D) a cerebral contusion.
Following a chest X-ray, a patient has been diagnosed with a pleural effusion. The care team has concluded that the quantity of fluid in the patient's intrapleural space necessitates thoracentesis
What patient education should the nurse provide in anticipation of this procedure? A) "You can move around as normal after the procedure is finished, and I've applied a bandage over the site." B) "The doctor will ask you to cough a few times to facilitate the insertion of the needle." C) "If you're unable to lie on your side, you can sit upright and support yourself on your overbed table." D) "It's very important that you remain still while the doctor is performing the procedure."
When questioned about the automobile accident that brought him into the hospital, the patient began to cry loudly. The patient then proceeded to curl up in a ball on the bed and suck his thumb. This patient is presenting the defense mechanism of
1. Sublimation. 2. Displacement. 3. Regression. 4. Avoidance.
A nurse is charting on a patient's record. Which action will the nurse take that is accurate legally?
a. Charts legibly b. States the patient is belligerent c. Writes entry for another nurse d. Uses correction fluid to correct error