The nurse is caring for a patient who had surgery 2 days ago. The nurse correctly recognizes which of the following as having the greatest ability to reduce the incidence of deep vein thrombosis (DVT)?
A) Early ambulation
B) Bedrest
C) Preoperative exercise
D) Frequent turning in bed in the postoperative period
Ans: A
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The nursing executive attempting to incorporate the American Association of Critical-Care Nurses' (AACN's) Healthy Work Environment Standards would formulate which policy? The manager would create a policy to
a. encourage all nurses to return to school to complete degrees. b. limit environmental hazards currently present in the facility. c. provide discounts to a local fitness center for all employees. d. use a standard "handoff" report format at change of shift.
The client who should be assessed as demonstrating aggression is
a. A, who stomps away from the nurses' station, goes into the day room, and grabs a pool cue from a client standing at the pool table. b. B, who bursts into tears, leaves the community meeting, and sits on her bed hugging her pillow and sobbing. c. C, who tells her primary nurse "When you told me that I could not have a pass, I felt angry.". d. D, who tells the medication nurse "I am not going to take that, or any other, medication.".
A nurse in a long-term care facility is taking patients to the dining room for lunch. She asks the patient who has been diagnosed with delirium if she is ready to go eat lunch. The patient does not respond. What should be the nurse's next action?
a. Take the patient by the arm and lead her to the dining room. b. Assist the patient to bed and bring her lunch to her. c. Tell the patient that she can go to the din-ing room whenever she gets hungry. d. Ask the patient again if she is ready to go eat lunch.
A 26-year-old woman is being evaluated for vomiting and abdominal pain. Which question from the nurse will be most useful in determining the cause of the patient's symptoms?
a. "What type of foods do you eat?" b. "Is it possible that you are pregnant?" c. "Can you tell me more about the pain?" d. "What is your usual elimination pattern?"