Which assessment is considered abnormal when a nurse performs a neurovascular assessment on a patient in skeletal traction?
a. Delayed capillary refill
b. Bilateral equal pulses
c. Absence of pain and swelling
d. Limb is the same color as the unaffected side
A
Delayed capillary refill reflects possible impaired tissue perfusion.
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The home care nurse is planning an initial visit to a family whose infant delivered at 35 weeks and developed respiratory distress syndrome. What should the nurse base her planning on?
1. Parents were involved with care throughout the infant's hospitalization. 2. The attachment process will have developed the same as with an infant at term. 3. This infant has the same risk factors for developing infections as does a term infant. 4. Risks for cognitive or emotional or developmental delays are low.
If 150 mg of a drug is ordered IVP stat over two minutes, and the concentration of the drug is 75 mg/mL, find the total number of milliliters, and indicate how many milliliters you will administer per minute
1. 10 mL total; 5 mL/min 2. 2mL total; 1 mL/min 3. 1 mL total; 1 mL/min 4. 4 mL total; 2 mL/min
A nurse was trying to decrease the amount of respiratory illness in the community. Which of the following approaches should be used by the nurse?
a. Attend each farmworkers' meeting and listen to how they perceive and discuss their problems b. Offer to teach the farmers' spouses how to protect their families, such as having the farmer shower and change clothes before coming into the house c. Suggest the community work together to obtain a community college so farmworkers could be educated for other employment opportunities d. Teach children in the school system the importance of seeking employment in cities rather than staying on the farm
A client contemplating chemotherapy for acute leukemia tells the nurse that s/he is concerned about the effects of chemotherapy on sexuality. Appropriate interventions by the nurse include (Select all that apply)
a. describing the physical changes that may occur with chemotherapy affecting sexuality. b. explaining that because of fatigue or other causes, libido may be decreased during chemotherapy. c. informing the client and partner that you will call a social worker who can address their concerns. d. informing the client about some reproductive alternatives such as sperm banking and egg harvesting. e. offering information on alternative sexual positioning and techniques the client can try.