Extra precautions to promote venous return should be taken with which of the following clients?
A. 58-year-old client whose international normalized ratio (INR) is 2.2
B. 48-year-old client having surgery for advanced ovarian cancer
C. 38-year-old client who is 15 pounds below ideal body weight
D. 28-year-old client who has a latex allergy
B
Clients with cancer often have hypercoagulopathy, although the cause of this phenomenon is not known. This increases their risk for postoperative deep vein thrombosis and pulmonary embolism.
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You are examining a patient for venous insufficiency. You are most likely to find which of the following? Select all that apply
a. Severe pain d. Edema b. Warm skin e. Hair loss on extremity c. Normal nails f. Diminished or absent pulses
A patient on your unit is found to have pulmonary tuberculosis (TB). What is the most appropriate precaution for the staff to take to prevent transmission of TB?
A) Standard precautions only B) Standard and droplet precautions C) Standard and contact precautions D) Standard and airborne precautions
What data would the nurse expect to find when performing an assessment of a 90-year-old suspected of having an upper respiratory infection?
a. Temperature elevation over 101° F b. Elevated white blood count c. History of recent periods of confusion d. Record of increased fluid intake
The nurse administered a retention enema to a client. The nurse encourages the client to hold the enema as long as possible. Based on this information, what is the recommended time that the nurse should tell the client to retain a retention enema?
A) 5–10 minutes B) 10–15 minutes C) 15–25 minutes D) 25–30 minutes