A client is three days postop from a cesarean birth. She has tenderness, localized heat, and redness of the left leg. She is afebrile. As a result of these symptoms, she most likely will be:
1. Encouraged to ambulate freely.
2. Given aspirin 650 mg by mouth.
3. Given Methergine IM.
4. Placed on bedrest.
4
Rationale:
1. That would increase the inflammation.
2. Aspirin 650 mg by mouth has anticoagulant properties, but usually is not necessary unless complications occur.
3. Methergine is given only for postpartum hemorrhage, and would only cause vasoconstriction of an already inflamed vessel.
4. These symptoms indicate the presence of superficial thrombophlebitis. The treatment involves bedrest and elevation of the affected limb, analgesics, and use of elastic support hose.
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The home health care agency that receives federal funds desires to hire a new home health care aide. This aide will provide direct and hands-on care to patients. Which person would meet federal requirements for that position?
1. A nursing assistant who has on-the-job training at a nursing home 2. A nursing assistant who completed a training and competency evaluation program 3. A nursing assistant who has on-the-job training at a hospital 4. A second-semester student enrolled in a registered nursing program
A 6-year-old child has patient-controlled analgesia (PCA) for pain management after orthopedic surgery. The parents are worried that their child will be in pain. What should your explanation to the parents include?
a. The child will continue to sleep and be pain free. b. Parents cannot administer additional medication with the button. c. The pump can deliver baseline and bolus dosages. d. There is a high risk of overdose, so monitoring is done every 15 minutes.
A patient returns to the unit following a cardiac catheterization. Which nursing interventions are appropriate for this patient?
Select all that apply. 1. Assess cardiac rhythm and rate. 2. Assess patient for complaints of shortness of breath. 3. Maintain bed rest as ordered. 4. Assess pulses proximal to the insertion site. 5. Maintain fluid restriction.
An 80-year-old woman comes to the community health care facility with a large bag of medications. She tells the nurse she can no longer afford these medications because her only income is Social Security. Which statement is the best response by the nurse?
a. "Let's go through these medications and see which ones we can delete." b. "You can get these medicines at this clinic for free." c. "Let's see if we can get some help from Medicare to help you pay for these medications." d. "These medications are important. Do your best to pay for them."