The nurse is completing a nursing diagnosis of Pain for a client with thromboangiitis obliterans. Which of the following nursing instructions are most beneficial in decreasing the pain? Select all that apply
A) Elevate the extremity.
B) Apply ice.
C) Apply a warm compress.
D) Stop smoking.
A, B, C, D
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Thromboangiitis obliterans is an inflammation of the blood vessels associated with clot formation and fibrosis of the blood vessel wall. It affects primarily the small arteries and veins of the legs. All of the options have therapeutic benefits.
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A patient is concerned about his inability to speak clearly due to an infection in the upper respiratory system. Which of the following structures serve as the patient's resonating chamber in speech?
A) Trachea B) Pharynx C) Paranasal sinuses D) Larynx
The nurse is providing care to a pediatric client who requires IV therapy to treat dehydration. How many mL of IV fluid will the pediatric client need per day and how many mL will the pediatric client receive per hour?
1. 1000 mL; 42 mL/h 2. 1250 mL; 52 mL/hr 3. 1500 mL; 63 mL/hr 4. 2000 mL; 83 mL/hr
The nurse assesses an adult client with the nursing diagnosis of "impaired gas exchange.". Which assessment data does the nurse use to determine if the client's plan of care is effective?
1. SaO2 of 88% 2. Pink nail beds 3. Asymmetrical excursion 4. Intercostal retractions present
A nurse provides a client with instructions regarding breast self-examination (BSE). Which client statements indicate an understanding of detecting lumps in the breast? Select all that apply
1. "I should inspect my breasts in a circular manner." 2. "Knowing the texture and feel of my breasts is important." 3. "I should perform BSE 1 week prior to the start of my period." 4. "When I reach menopause, I will perform BSE every 2 months." 5. "I should inspect my breasts while in a supine position, with my arms at my sides."