When caring for a patient with an arm sling, the nursing assistant should do all of the following except
A. make the patient comfortable so he can wear the sling at all times.
B. monitor the skin behind the neck for irritation and breakdown.
C. monitor the skin under the arm for irritation and breakdown.
D. wash the underarm and keep the area clean and dry.
Answer: A
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The nurse is using the cardiac monitor tracing to evaluate cardiac function. The QRS interval is 0.14 seconds in width. How does the nurse interpret this finding?
A) Normal rate and rhythm B) Slowed conduction through the atria C) Left ventricular bundle branch block D) Slowed ventricular depolarization
A patient diagnosed with heart failure has 3+ lower extremity edema. Which description most accurately describes this patient's edema?
1. slight pitting, no obvious distortion 2. deeper pit, no obvious distortion 3. pit is obvious, extremities are swollen 4. pit remains with obvious distortion
A novice nurse requires additional education on arterial vascular deficiency when suggesting the condition's symptoms include
a. 2+ edema in calf and foot of left leg. b. a 2-cm ulcer between the great and second toe on the left foot. c. skin on the left leg is cool to the touch. d. toenails on the left foot are thick and brit-tle.
Which factors which would alert the nurse to negative/dysfunctional family dynamics?
a. Aging of family members b. Chronic illness of a family member c. Disability of a family member d. Intimate partner violence