The client is 1 day postoperative from a total hip replacement and has an abduction pillow in place. What is the best nursing action or intervention to prevent complications from this de-vice?
A. Apply lotion to the client's legs daily.
B. Turn the client only to the nonoperative side.
C. Assess the client's skin under the straps every 2 hours.
D. Change the client's antiembolic stockings every 24 hours.
C
Straps that are too tight or that rub may cause skin irritation or breakdown. They should be loo-sened and checked every 2 hours to determine whether the skin is being affected or circulation impeded.
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What are the MOST common types of hallucinations?
a. auditory and visual b. olfactory and tactile c. tactile and visual d. visual and olfactory
The primary reason for using an IV infusion pump is to save the nurse time
Indicate whether the statement is true or false.
A patient has delivered a stillborn infant at 28 weeks' gestation. Which nursing action is appropriate?
1. Discuss funeral options for the baby. 2. Encourage the couple to try to get pregnant again soon. 3. Ask the couple whether or not they would like to hold the baby. 4. Advise the couple that the baby's death was probably for the best.
The client is ordered to have eye drops administered daily to both eyes. Eye drops should be in-stilled on the:
1. Cornea 2. Outer canthus 3. Lower conjunctival sac 4. Opening of the lacrimal duct