A nurse caring for patients on an orthopedic unit should be most concerned by
1. A patient reporting pain at a 2 on a 0 to 10 scale.
2. A patient reporting itching under a plaster cast.
3. Redness and purulent drainage at an external pin site.
4. A patient with a hip replacement ambulating with assistance.
ANS: 3
You might also like to view...
After providing a client with information, the nurse waits for feedback. The function of feedback in communication is to:
a. send a clear message. b. provide the sender with information about the receiver's perception of the information. c. help the receiver decode the message. d. assist the sender in encoding the message.
Which nursing action is appropriate when providing care to a newborn with a respiratory rate of 102 breaths per minute with lungs that are clear to auscultation?
1. Administering the bath to the neonate in the nursery 2. Transferring to the neonatal intensive care unit for further observation 3. Allowing the neonate to room-in to promote bonding 4. Providing the first feeding in the nursery
The nurse volunteers for a committee that must develop hospital policy and procedure for
implementing suicide precautions. Of the following resources, the one(s) that would provide the best guidance would be (more than one answer may be correct) A. the DSM-IV-TR. B. the state's Nurse Practice Act. C. the regulations that govern hospital licensure. D. a summary of common practices of several local hospitals. E. the American Nurses Association Scope and Standards of Practice for Psychiatric-Mental Health Nursing Practice.
Removal of specific organs may place the patient at risk for impaired immune function
During the health history, the nurse asks the patient if he has had surgical removal of which organ that may lead to impairment of the immune system? A) Lung B) Spleen C) Colon D) Pancreas