The home health nurse's instruction to the parents on the care of hemarthrosis in a child with hemophilia A would include: (Select all that apply.)
a. Resting the joint
b. Elevating the limb
c. Applying ice to the joint
d. Compression or splinting
e. Administration of aspirin
A, B, C, D
Aspirin and other NSAIDs should be avoided in children with hemophilia as they affect clotting.
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When a patient arrives in the emergency department with a sucking wound to the left chest, the nurse should:
a. place several layers of gauze dressing over the wound. b. place the patient in a supine position. c. cover the wound with an airtight dressing taped on three sides. d. turn the patient to the left side.
A nurse is assisting in the transfer of a postoperative patient from the postanesthesia care unit to the surgical nursing unit. To ensure the safety of the patient, the nurse would:
1. put the side rails up after moving the patient from the stretcher to the bed. 2. ask the patient to move from the stretcher to the bed. 3. move the patient rapidly from the stretcher to the bed. 4. uncover the patient before transferring from the stretcher to the bed.
A client is undergoing radiation therapy and says, "I will be so glad when this is over and I don't have to worry about my skin." What response by the nurse is most appropriate?
a. "Unfortunately, your skin will be perma-nently damaged from the radiation." b. "You need to protect your skin from the sun for at least a year afterward." c. "You can get a prescription for special lotions that reduce the effects of radia-tion." d. "You're having skin problems? That is unusual; let me take a look at your skin."
A client received an epidural anesthesia during the first stage of her labor. The epidural is discontinued immediately after delivery. The nurse should be prepared to assess the client for which of the following during the fourth stage of labor?
A. Nausea B. Bladder distention C. Uterine atony D. Hypertension