The nurse, planning care for a client diagnosed with severe facial trauma, realizes that which of the following will not be used when caring for this client?
1. Blood pressure cuff
2. Nasogastric tube
3. Indwelling urinary catheter
4. Doppler
2
NG tube placement is contraindicated in facial trauma. Blood pressure cuffs are used for most, if not all, clients. An indwelling urinary catheter and Doppler may or may not need to be used when caring for this client.
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A nurse plans care for a client with epilepsy who is admitted to the hospital. Which interventions should the nurse include in this client's plan of care? (Select all that apply.)
a. Have suction equipment at the bedside. b. Place a padded tongue blade at the bedside. c. Permit only clear oral fluids. d. Keep bed rails up at all times. e. Maintain the client on strict bedrest. f. Ensure that the client has IV access.
A patient with chronic obstructive pulmonary disease (COPD) says, "I have to rest a lot. It just wears me out trying to breathe." The nurse interprets this statement to mean the patient has difficulty with which respiratory process?
1. Perfusion 2. Diffusion 3. Ventilation 4. Consumption
The nurse is providing family counseling for a client who has recently been discharged from acute care and is living with her family
The family is concerned because the client has been away from home for extended periods has refused to explain the absences. The client states she feels shamed because: A) Family monitoring feels like mistrust. B) Family members constantly remind her of the support they are lending. C) Shame is a symptom of mental illness. D) She does not feel "normal.".
The most serious complication of thromboembolism is:
a. Gangrene b. Hemorrhage c. Varicose veins d. Pulmonary embolism