When the clinic nurse starts to take the "air cast" off the grade 2 sprain, the patient asks why it is being removed as he still has pain. The nurse explains that the cast is removed because:
a. the cast will interfere with adequate cir-culation.
b. the cast will increase the edema.
c. long-term immobilization can cause per-manent disability.
d. another heavier cast will be applied.
C
Lengthy immobilization can lead to permanent disability. Casts and splints are left on only until the joint is strengthened.
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Before applying a safety reminder device (SRD), the nurse must:
a. get permission from the family. b. assess patient's skin condition. c. get a physician's order. d. explain the SRD to the patient.
A nursing student is learning how to implement the nursing process in the clinical area. The purposes of the diagnosis phase include which of the following? Select all that apply
__________ Develop a list of problems. __________ Identify client strengths. __________ Develop a plan. __________ Specify goals and outcomes. __________ Identify problems that can be prevented.
Archie is a nursing assistant working in a long-term care community. Helping Mrs. Khan at breakfast, he sees her begin to stare blankly into space while her arm and facial muscles twitch for 30 seconds. Archie recognizes he is observing
A. A grand mal seizure. B. Cardiopulmonary arrest. C. A petit mal seizure. D. A patient going into shock.
A nurse administers a prescribed dose of IV morphine for pain. The next day the patient reports constipation. Which of the following best describes this adverse reaction?
A. tolerance B. side effect C. Allergic reaction D. anaphylactic reaction