The nurse is providing a bath for a patient at risk of deep vein thrombosis. Which technique should the nurse use?
a. Use short, light strokes when washing the legs.
b. Use long, firm strokes when washing the legs.
c. Use circular strokes up and down the legs.
d. Pat the legs gently with a warm, wet washcloth.
A
The nurse uses short, light strokes when washing the legs to prevent dislodging any clots if present. Long, firm strokes are contraindicated because the pressure exerted against the walls of the veins could dislodge clots if present. Circular strokes up and down the legs are not used to clean the legs. The strokes move toward the heart to promote venous return. Patting the legs with a warm, wet washcloth would be ineffective in cleaning.
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What activity is carried out during the implementing step of the nursing process?
A) Assessments are made to identify human responses to health problems. B) Mutual goals are established and desired client outcomes are determined. C) Planned nursing actions (interventions) are carried out. D) Desired outcomes are evaluated and, if necessary, the plan is modified.
A client with a suspected degenerative brain disease is having surgery to place an intracerebral shunt. Which of the following should be done with the instruments after this surgical procedure?
1. Sterilize with high-pressure steam. 2. Sterilize with the special treatment to eliminate prions. 3. Wash with bacteriostatic solution and submerge in an appropriate chemical bath. 4. Rinse with disinfectant and place in a gas sterilizer.
Older persons are at risk for shearing. Which measure will protect the person from pain and injury?
a. Ask the family member to assist you. b. Use a friction-reducing device when moving the person. c. Pull the person quickly toward you. d. Move the person on your own.
The nurse is caring for a female patient with a suspected sexual dysfunction. In order for the healthcare provider to diagnose sexual dysfunction, which must be true of the symptoms? (Select all that apply.)
1. They always prevent desired participation in sexual activity. 2. They frequently prevent desired participation in sexual activity. 3. They have been present for at least 12 months. 4. They have been present for at least 6 months. 5. They are not caused by some other mental, behavioral, or medical condition.