Antiembolic stockings are in place on the obese postsurgical patient. The nurse is aware that the standard of care in regard to antiembolic stockings is that the stockings should be:
a. left in place continually for the first 24 hours.
b. fitted tightly at the knee and ankle.
c. removed approximately 20 minutes every shift.
d. removed when ambulating.
C
Stockings should be removed approximately 20 minutes each shift for skin care.
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A community health nurse identifies a problem of increased infant mortality with adolescent pregnancies. The nurse decides to address this problem with a health policy. The nurse is engaging in which stage of the policy process?
A) Formulation B) Adoption C) Implementation D) Evaluation
If a nursing team is successful, it is receiving support from:
1. physicians. 2. other units in the facility. 3. the owners. 4. administration.
The nurse is preparing to catheterize a client after the client has just independently voided. The purpose of this catheterization would be to:
1. serve as a urine output baseline. 2. support the diagnosis of kidney stones. 3. evaluate the ability of the client to empty the bladder. 4. evaluate renal function.
A patient is diagnosed with doll's-eye movements. What should the nurse expect to assess in this patient?
1. The eyes remain fixed as the head is turned. 2. The eyes appear to move in the direction opposite to the motion of the head, when the head is gently rotated. 3. The eyes open and close when the neck is flexed and extended. 4. The pupils remain fixed and dilated.