The nurse caring for the patient with lymphedema of the left arm will implement what interven-tion?
a. Encourage patient to keep the arms as in-active as possible to reduce further injury.
b. Clean the arm with mild soap and massage gently.
c. Take blood pressure and give injections in the right arm.
d. Keep the arm below the level of the heart to minimize edema.
C
Taking blood pressure and giving injections in the right arm will reduce the probability of further injury to the left arm. The left arm should be placed above the level of the heart for fluid drai-nage. Muscle activity enhances the reabsorption of the fluid. Massaging the arm will increase circulation.
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The nurse notices that a school-aged child has bluish-white, red-based spots in her mouth that are elevated approximately 1 to 3 mm. What other signs would the nurse expect to find in this patient?
a. Pink, papular rash on the face and neck b. Pruritic vesicles over her trunk and neck c. Hyperpigmentation on the chest, abdomen, and back of the arms d. Red-purple, maculopapular, blotchy rash behind the ears and on the face
A patient who has recently been diagnosed with diabetes is clinically obese and sedentary. How can the nurse best increase activity in this patient?
A) Set up appointment times at a local fitness center for the patient to attend. B) Have a family member ensure the patient follows a suggested exercise plan. C) Construct an exercise program and have the patient follow it. D) Identify barriers with the patient that will inhibit change.
In the Joana Briggs Institute Model, where does Clinical Audit best fit? What purpose does Clinical Audit fulfill that informed your decision?
What will be an ideal response?
A nurse assesses an 82-year-old client who has a history of coronary artery bypass surgery and heart failure. In the interview, the family expresses concern because the client's "ability to figure out what is going on" has deteriorated
However, the client remains wise and continues to give solid life advice. Which theory explains this phenomenon? A) Crystallized intelligence declines with age. B) Cognitive skills of older adults are better than younger adults under some conditions. C) Mild cognitive impairment begins with cognitive dissidence. D) Cognitive abilities may be impaired by the client's cardiovascular disease.