When providing care for a client who has had a débridement for osteomyelitis, which interven-tion is most important for the nurse to implement?
a. Assess the white blood cell count.
b. Assess circulation in the distal extremities.
c. Administer pain medication.
d. Monitor temperature.
B
All the interventions would be completed during care of this client. However, after resection of infected bone, neurovascular assessments must be done frequently because the client experiences increased swelling, which could cause neurovascular compromise.
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The chief symptom a critical care nurse will assess for in a patient with an aortic aneurysm is
A) sudden, intense chest pain. B) severe hypotension. C) sudden mental confusion and disorientation. D) none. The patient is usually asymptomatic.
A psychotic patient is admitted through the emergency department. The physician has ordered chlorpromazine (Thorazine) 25 mg intramuscularly. After administration of the medication, what is the nurse's priority to evaluate?
A) The patient's ability to ambulate B) Return of the patient's appetite C) A decrease in psychotic symptoms D) Blood pressure and pulse
Interpret this Roman numeral: XLII
1. 492 2. 92 3. 62 4. 42
The patient has been diagnosed with endometriosis. She asks the nurse if there are any long-term health risks associated with this condition. The nurse should include which statement in the patient teaching about endometriosis?
1. "There are no other health risks associated with endometriosis." 2. "Pain with intercourse rarely occurs as a long-term problem." 3. "You are at increased risk for ovarian and breast cancer." 4. "Most women with this condition develop fibromyalgia."