The nurse is caring for a patient with a long leg cast. What should the nurse include when assessing this patient for indications of compromised circulation?
Select all that apply.
1. swelling of the toes
2. drainage on the cast
3. increased temperature
4. foul odor
5. a tight cast
Correct Answer: 1, 5
Constriction of circulation reduces venous return and increases pressure within the vessels. Fluid then shifts into the interstitial space, causing edema. Edema can cause the cast to become tight. A tight-fitting cast can lead to compartment syndrome. Foul odor, drainage, and increased temperature would indicate potential infection.
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A male patient tells the nurse that he does not understand why he feels the way he does when he is sexually excited. What would the nurse teach the patient?
A) "I don't know, but I will ask my boyfriend if he can describe his feelings to me." B) "The sexual response cycle includes excitement, plateau, orgasm, and resolution." C) "That is something that just happens and nobody knows why." D) "Isn't sex wonderful? I think it has different parts to the experience."
The nurse in the emergency department is admitting a 22-year-old woman who complains of chills, dizziness, and vomiting. She is in the middle of her period, and has a tampon in place
The nurse suspects toxic shock syndrome, and assesses for the manifestations of: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Fever. 2. Rash. 3. Desquamation of skin. 4. Bloating. 5. Urinary frequency and urgency.
Another word for ____________ is euphorigenic.
Fill in the blank(s) with the appropriate word(s).
A patient diagnosed with latent syphilis asks about transmitting the disease to others. What information should be provided to the patient?
A. "At this stage of the disease, transmission is by contact with blood." B. "At this late stage, the disease is contained to only you." C. "You will need to wear a condom." D. "You will need to abstain from sexual relations until treatment is completed."