The probability of compartment syndrome in a patient with a side arm cast and traction is considered when the nurse assesses: (Select all that apply.)
a. warm, rosy fingers.
b. complaint of pain in hand and fingers.
c. edema of fingers.
d. weak radial pulse.
e. tingling and numbness.
B, C, D, E
Warm, rosy fingers would be assessed as a sign of adequate perfusion.
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During an examination of a woman, the nurse notices that her left breast is slightly larger than her right breast. Which of these statements is true about this finding?
a. Breasts should always be symmetric. b. Asymmetry of breast size and shape is probably due to breastfeeding and is nothing to worry about. c. Asymmetry is not unusual, but the nurse should verify that this change is not new. d. Asymmetry of breast size and shape is very unusual and means she may have an inflammation or growth.
A group of disaster survivors is being defused by the critical incident stress management (CISM) team. What explanation describes the purpose of defusing?
A) To assess how the patient is coping emotionally after the disaster B) To educate the patient on future coping strategies in future disasters C) To provide individuals with education about recognizing stress reactions D) To assess the need for referral to mental health
The nurse visits a household that consists of an elderly person living with non-relatives. This type of household is classified as a:
a. Single-family household b. Family household c. Non-family household d. Family demographic trend
A nurse is making a home visit and discovers that a patient's wound infection has gotten worse. After cleaning and re-dressing the wound, what should the nurse do?
a. Ask the home health agency nurse manager to contact the health care provider. b. Document the findings and confirm with the patient the date of the next home visit. c. Notify the health care provider of the findings before leaving the home. d. Tell the patient that the health care provider will be notified before the next visit.