In providing nursing management to a client post–varicose vein surgery, the nurse would include which of the following teaching measures? Select all that apply
A) Exercise
B) Cool compresses
C) Elastic stockings
D) Lower the extremities.
E) Stand rather than sit.
F) Take warm showers in the morning.
A, C
Feedback:
Movement/exercise and use of elastic stocking aid in venous return. Cool compresses can cause vasoconstriction, which can diminish arterial blood flow. Elevation of legs can be helpful in aiding venous return. Standing or sitting for prolonged periods of time should be avoided. Showers in the morning can dilate blood vessels and contribute to venous congestion and edema.
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Fifteen minutes after the infusion of packed red blood cells (RBCs) has begun, the patient complains of difficulty breathing and chest tightness. The most appropriate initial action for the nurse to take is:
A) Notify the patient's physician. B) Stop the transfusion immediately. C) Remove the patient's intravenous access. D) Assess the patient's chest sounds and vital signs.
Which of the following statements most accurately characterizes an aspect of the neurobiology of sleep?
A) The hypothalamus stimulates the anterior and posterior pituitary to modulate sleeping-waking cycles. B) The pituitary releases melatonin at predictable points in the circadian rhythm in order to facilitate sleep. C) The reticular formation, thalamus, and cerebral cortex interact to integrate the sleep-wake cycle. D) Input from the retinas is interpreted by the cerebellum and contributes to maintenance of the circadian rhythm.
The rehabilitation nurse prepares the family for when the patient with a brain injury begins to regain memory. The nurse explains that the patient will most likely become more:
a. combative. b. angry. c. depressed. d. retiring.
The nurse caring for a postpartum client would consider the nursing diagnosis of ineffective individual coping when the client demonstrates which behavior?
A) Reading material on care of a newborn B) Lying in bed, lights dim, and refusing to spend time with the baby C) Cuddling the new infant D) Talking with friends and family on the phone