A patient is brought to the Emergency Department with cold, white, waxy fingers and toes. The patient denies pain. Which intervention does the healthcare professional provide as the priority?
a. Applying local, dry heat
b. Rubbing or massaging the area
c. Immersing in warm water
d. Leaving the area uncovered
Answer: c. Immersing in warm water
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The nurse has given a community group a presentation on eye health. Which statement by a participant indicates a need for more instruction?
a. "I always lose my sunglasses, so I don't wear them." b. "I have diabetes and get an annual eye exam." c. "I will not share my contact solution with others." d. "I will wear safety glasses when I mow the lawn."
A patient is admitted to the medical unit with a diagnosis of intestinal obstruction. When planning this patient's care, which of the following nursing diagnoses should the nurse prioritize?
A) Ineffective Tissue Perfusion Related to Bowel Ischemia B) Imbalanced Nutrition: Less Than Body Requirements Related to Impaired Absorption C) Anxiety Related to Bowel Obstruction and Subsequent Hospitalization D) Impaired Skin Integrity Related to Bowel Obstruction
The prenatal nurse educator is teaching couples the technique of using sacral pressure during labor. Which should be included in the teaching session? (Select all that apply.)
a. The technique can be combined with heat to the area. b. A jiggling motion should be used while applying the pressure. c. Tennis balls may be used to apply the pressure to the sacral area. d. The pressure against the sacrum should be intermittent during the contraction. e. The hand may be moved slowly or remain positioned directly over the sacrum.
A patient reports having abdominal distention. The nurse notices that the patient's sclerae are yellow. What question is appropriate for the nurse to ask in response to this information?
a. "Has there been a change in your usual pattern of urination?" b. "Have you had any nausea or vomiting?" c. "Has there been a change in your bowel habits?" d. "Have you had indigestion or heartburn?"