A 60-year-old woman is postoperative day 2 following a transverse rectus abdominis myocutaneous (TRAM) flap
While assessing the patient near the beginning of the shift, the nurse determines that the skin adjacent to the surgical dressing is pale and cool to the touch. How should the nurse best respond to this assessment finding?
A) Encourage the patient to perform active range of motion exercises to promote circulation.
B) Promptly report this assessment finding to the patient's surgeon.
C) Remove the surgical dressing to more accurately assess the surgical site.
D) Apply warm compresses to the cool regions of the patient's skin.
B
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While attempting to choose a nursing diagnosis, the nurse must decide whether a client is experiencing anxiety or fear. Which key point would allow the nurse to plan care based on the nursing diagnosis of Anxiety?
A) The source of fear is identifiable, but anxiety may be vague. B) Anxiety is a milder form of fear. C) Fear results in a physiologic response, whereas anxiety is psychological. D) Anxiety is generally based in reality, whereas fear is not.
A client has smoked two packs of cigarettes daily for many years. When she does not smoke or tries
to "cut back," she becomes anxious, craves a cigarette, cannot concentrate, and gets a headache. This scenario would be assessed as a. substance abuse. b. substance intoxication. c. substance dependence. d. recreational use of a social drug.
A Hispanic patient reports symptoms consistent with the cultural phenomena of susto
A physical examination reveals no pathology, and depression is diagnosed. The effectiveness of selective serotonin reuptake inhibitors (SSRIs) may be increased if combined with: a. care from a traditional healer. b. acupuncture. c. skin scraping. d. moxibustion.
Increased oxygen tension in the arterial blood of a newborn infant causes:
a. closure of the ductus arteriosus. b. hyperinflation of the lungs. c. passive respiratory movements. d. reopening of the foramen ovale.