You are caring for a patient that has had surgery and now has an order for elastic stockings. The patient was alert and oriented before surgery but is a little confused at this time. She keeps rolling her stockings down and twisting them. Is this an issue?
What will be an ideal response?
Creases, wrinkles, and twists can impair circulation. When the stockings are rolled down they are not effective. Assure circulation is not impeded, the patient is safe, and notify the nurse of the issue.
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The nurse is caring for a client with asthma who is sitting in bed with the head elevated 30 degrees and is having trouble breathing effectively
The nurse has read a number of research articles indicating that a 70-degree elevation to the bed is more effective in reducing dyspnea than is a 30-degree elevation. The nurse elevates the head of the bed to 70 degrees, and the client breathes more easily. The nurse has demonstrated use of: 1. Nursing theory. 2. Nursing diagnosis. 3. Evidence-based practice. 4. Goal setting for the client.
A patient is ready to be discharged home after a cataract extraction with intraocular lens implant and the nurse is reviewing signs and symptoms that need to be reported to the ophthalmologist immediately
Which of the patient's statements best demonstrates an adequate understanding? A) "I need to call the doctor if I get nauseated." B) "I need to call the doctor if I have a light morning discharge." C) "I need to call the doctor if I get a scratchy feeling." D) "I need to call the doctor if I see flashing lights."
A patient who has recently begun taking carbamazepine [Equetro] for bipolar disorder reports having vertigo and headaches. Which action by the nurse is appropriate?
a. Ask the provider whether another medica-tion can be used for this patient, because the patient is showing signs of toxicity. b. Contact the provider to request a complete blood count (CBC) to evaluate for other, more serious side effects. c. Reassure the patient that these effects oc-cur early in treatment and will resolve over time. d. Review the patient's chart for cytochrome P450 enzymes to see whether an increased dose is needed.
The physician has discontinued a patient's diuretic medication. How would you expect this medication to be discontinued?
1. Reduced gradually 2. Stopped immediately 3. Taken every other week for a month 4. Two more doses then stopped