In caring for a pregnant woman with sickle cell anemia with increased blood viscosity, the nurse is concerned about the development of a thromboembolism. The nursing care would include:
1. monitoring the patient for a negative Homans sign.
2. massaging calves when the woman complains of pain.
3. applying antiembolic stockings.
4. maintaining a restriction on fluid intake.
3
1. Incorrect. The nurse would monitor the patient for a Homans sign.
2. Incorrect. Massaging the calves is not appropriate because this may dislodge a throm-boembolism into the bloodstream (if one were present).
3. Correct. Applying antiembolic stockings is an appropriate nursing action.
4. Incorrect. Appropriate nursing care includes maintaining adequate hydration, not re-stricting fluid intake.
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A hospitalized client has a platelet count of 58,000/mm3. What action by the nurse is best?
a. Encourage high-protein foods. b. Institute neutropenic precautions. c. Limit visitors to healthy adults. d. Place the client on safety precautions.
A client asks the nurse if it is true that a diet high in fiber can help lower cholesterol. The nurse responds that:
1. "It is true for only some people.". 2. "Soluble fiber may help lower cholesterol.". 3. "Research has been inconclusive about the role of fiber in lowering cholesterol.". 4. "It is effective only when increased fiber consumption starts in young adulthood.".
Practicing assertiveness positively impacts
A. Patient safety B. Job satisfaction C. Teamwork D. All of the above
What is the primary source of data for evaluation?
a. The chart b. The client c. The end-of-shift report d. Interprofessional team meetings