A client has been placed in Buck's extension traction. The nurse can provide counter traction to reduce shear and friction by implementing which measure?
A. Flexing the feet against a footboard
B. Slightly elevating the foot of the bed
C. Keeping the head of the bed elevated 45 degrees
D. Placing the bed in reverse Trendelenburg position
Ans: B. Slightly elevating the foot of the bed
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A 15-year-old boy who has been taking dextroamphetamine for the treatment of ADHD has been experiencing a depressed mood and a sense of hopelessness
He confides in the school nurse that he has begun taking his stepfather's antidepressant to improve his mood. After immediately phoning the boy's stepfather, the nurse learns that the drug in question is phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI). The nurse should recognize that this combination of drugs creates a serious risk of what health problem? A) Cardiac dysrhythmia B) Hypertensive crisis C) Nephrotoxicity D) Hypokalemia
A patient who is being treated with topical mafenide acetate for third-degree burns is demonstrating facial and neck edema. What does the nurse realize is the most likely reason?
1. The patient is developing hypersensitivity to the medication. 2. The patient is reacting positively to the medication. 3. The patient needs an increase in dosage of the medication. 4. The patient is not responding to the medication.
A client who complains of being unable to empty all of the urine in the bladder is experiencing:
1. enuresis. 2. oliguria. 3. retention. 4. dysuria.
A patient's urine output is greater than 200 mL/hour and hemodynamic stability cannot be achieved by using fluids and vasoactive medications. The nurse anticipates that which medication may be prescribed?
1. Beta blocker such as Lopressor 2. Diuretic such as furosemide 3. Concentrated sugar such as 50% dextrose 4. Hormone such as vasopressin