The client who is postoperative from replacement of several finger joints on the left hand now has considerable swelling of the hand and is concerned. What should the nurse tell this client?
A. "Apply ice packs to the hand."
B. "Wrap your left arm with an elastic bandage up to the elbow."
C. "Keep the left hand and arm elevated to the level of your shoulder."
D. "Call your doctor immediately because swelling is a symptom of infection."
C
The hand can swell considerably after finger joint replacement surgery as a result of poor venous return from the hand. Keeping the hand out of a dependent position is the best way to promote venous drainage and reduce edema.
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A child, aged 10 years, is referred to the mental health clinic by the school psychologist. The child
tells the advanced practice nurse that she wants to die "because no one likes me.". She adds that "the other girls laugh at me.". She is unable to pinpoint a cause for the behavior of the other girls and does not think she can ever change their feelings about her. When she is asked if she has decided on a plan for taking her life, she states she will jump from the bridge over the river near her home some night after the family is asleep. She believes this will accomplish her goal because she saw her father throw kittens off the bridge and knows they died in the water because, like her, they couldn't swim. The nurse should make the assessment that suicide risk is a. nonexistent. b. low. c. moderate. d. high.
When will an agency's malpractice insurance cover the action of a Registered Nurse?
A) When the action of the nurse falls within the guidelines of her job description B) When the nurse restrains a patient to prevent him from leaving the hospital against medical advice C) When the nurse, who is now off duty, helps an individual who has fallen in the hospital parking lot D) When the nurse takes any action that saves the life of a patient
The nurse is planning interventions to address the potential problem of mucositis for a client receiving chemotherapy. Which of the following assessment findings caused the nurse to identify the client as being at risk for this side effect?
1. Client prescribed chemotherapy 2. Client age 50 3. Client lives alone 4. Client is fatigued
Keeping the patient's room tidy and organized is a priority because
A) it helps the patient and family feel comfortable. B) it ensures that care can be provided safely. C) both a and b D) it makes it easier to restock supplies.