A nursing instructor is evaluating elastic bandages applied to the ankle in a skills laboratory. The nursing instructor recognizes that additional teaching is needed because
1. The wrap has a crisscross pattern across the top of the foot.
2. The wrap progresses down the limb at a 45-degree angle.
3. The wrap comes around the inner ankle and behind the leg.
4. The wrap comes around the outer ankle and then across the top of the foot to the instep.
ANS: 2
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The health care provider orders "Tylenol 2 tabs p.o. q4h PRN pain" in the client's medical record. Which action by the nurse is the most appropriate?
1. Accept the order as complete. 2. Clarify the dosage. 3. Clarify the frequency. 4. Clarify the client.
The nurse is caring for a client who has a small pneumothorax and is capable of being ambulatory. Which prescription does the nurse anticipate when caring for this client?
1. Chest tube placed in the upper chest on the side of the pneumothorax 2. Chest tube placed in the lower chest on the side of the pneumothorax 3. Heimlich chest drain valve in the upper chest on the side of the pneumothorax 4. Heimlich chest drain valve in the lower chest on the side of the pneumothorax
A patient who has a hyphema is at risk for developing
a. Glaucoma b. Strabismus c. Diplopia d. Astigmatism
A home health client lives alone in a small apartment and has only one phone, which is a land line. What safety recommendation should the visiting home health nurse make for this particular client?
1. Suggest that the client move to a nursing home or assisted living dwelling. 2. Recommend that the client be enrolled in an emergency response system. 3. Enroll the client in a program that places all of the client's vital medical information in one place for emergency personnel. 4. Have the client post a list of emergency numbers (fire, police, ambulance) near the phone.