The nurse is using Montgomery straps on a client following abdominal surgery. What is the rationale for using Montgomery straps for the client?
A) To support the abdominal muscles
B) To enable frequent dressing changes
C) To exert pressure over a bleeding point
D) To ensure adequate return circulation to the heart
B
Feedback:
Montgomery straps enable frequent dressing changes. T-binders support a specific part and hold a dressing in place. Elastic roller bandage supports a dressing and exerts pressure over a bleeding point. Antiembolism stockings ensure adequate return circulation to the heart and prevent blood clots.
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The nurse is caring for a client who had abnormal hair growth as a side effect of medical treatment. Which term will the nurse use when documenting this side effect?
1. Alopecia 2. Hirsutism 3. Pediculosis 4. Scabies
The nurse identifies the diagnosis Ineffective Peripheral Tissue Perfusion related to decreased arterial flow to extremities as appropriate for a client. Which activity will the nurse recommend in order to improve the client's blood flow?
A) Cross the legs at the knees when seated. B) Use a heating pad to increase warmth. C) Elevate the feet while reclining. D) Position with the extremities dependent.
Physical dependence:
a. is the improper use of drugs or other chemical substances. b. usually results from prolonged use of a substance. c. implies that a client has difficulty functioning unless under the influence of a drug. d. describes a client's strong compulsion to obtain and use a substance or drug.
As the nurse completes a medical history on a client admitted with heart failure, which disease should the nurse associate with heart failure?
1. Chronic obstructive pulmonary disease (COPD) 2. Stroke 3. Epilepsy 4. Myocardial infarction