The nursing care of an individual with a deep vein thrombosis should include which of the following?
a. Elevation of the affected extremity.
b. Compression stockings.
c. Administration of analgesia.
d. All of the above.
d
The nurse should maintain individual comfort by ele
vating the affected extremity, applying compression stock
ings and administering analgesia; these all help to increase
circulation.
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The nurse is admitting a client with panic anxiety to the behavioral health unit. Which clinical manifestations would indicate that the client's anxiety is at a panic level of severity?
Select all that apply. A) Inability to focus B) Dilated pupils C) Feelings of doom D) Self-absorption E) Rapid speech
The nurse is caring for a patient with active GI bleeding. Estimated blood loss is 1,000 mL. Which of the following assessments would the nurse expect to find with this amount of blood loss?
a. all vital signs would expect to be normal with this amount of blood loss. b. oral temperature of 103°. c. heart rate 125 beats per minute. d. systolic blood pressure of 120 mm Hg.
A geriatric nurse shows an understanding of one of the major barriers to acquiring research-based geriatric nursing care when:
a. recognizing the need to assess the need for sleep differently b. assuming the likelihood that the subjects will have hearing and vision prob-lems c. planning for issues related to the cognitive abilities of the research participants d. planning specific enticements to encourage the geriatric subjects to participate
A patient visiting with family members in the waiting area tells the nurse "I don't feel good, especially in the stomach." What should the nurse do?
a. Request that the family leave, so the patient can rest. b. Ask the patient to return to the room, so the nurse can inspect the abdomen. c. Ask the patient when the last bowel movement was and to lie down on the sofa. d. Tell the patient that the dinner tray will be ready in 15 minutes and that may help the stomach feel better.