What instructions will you give L.J. about his activity?
How to teach the patient?
• Maintain bed rest to prevent dislodgment of an embolus from the DVT. Ask him to immediately
report to you any signs or symptoms of pulmonary embolism.
• Frequently change positions in bed; this helps prevent problems of immobility.
• Perform frequent gentle dorsiflexion and plantar flexion of the feet, and perform ankle circles to
promote circulation and to facilitate venous return.
• Do not cross legs; crossing legs can decrease circulation.
• Do not massage right leg; massage could dislodge a thrombus.
• Keep right leg elevated without pressure under the knee to promote circulation.
• Avoid sudden muscle movement of affected limb, which could dislodge a thrombus.
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With the increased use of HIT in health care settings, nurses are asked to participate in the development of national, state, and local policy. How can nurses gain practical experience in policy shaping and development?
1. Internships 2. Continuing education programs 3. Online legal courses 4. Volunteer in a homeless shelter
A client has a chronic wound that is being treated with a vacuum-assisted wound closure (VAC) device. Which intervention by the nurse takes priority?
a. Provide pain medication as needed. b. Assess the VAC every 2 hours for bleed-ing. c. Check the integrity of the dressing seal every 4 hours. d. Document the wound size with each dressing change.
The condition of a client the nurse is caring for rapidly deteriorates. The nurse's physical responses to this situation is predominantly controlled by the:
a. autonomic nervous system. c. sympathetic nervous system. b. central nervous system. d. parasympathetic nervous system.
Mrs. A complains to the clinic nurse that many times when she eats a large meal she develops abdominal cramps, bloating, and diarrhea within one hour. The nurse suspects she may have dumping syndrome and suggests that she:
1. Eat a diet high in simple carbohydrates to delay gastric emptying. 2. Eat small meals and snacks throughout the day rather than several large meals. 3. Increase activity following a meal. 4. Drink extra fluids with meals.