"While assessing a patient preoperatively, the nurse notices a history of latex allergy. Which of the following would be an appropriate intervention?
"a. Notify the surgeon so that the case can be canceled
b. Give the patient antihistamines to prevent anaphylactic shock
c. Question the patient about how his or her latex allergy developed
d. Notify the operating room staff so that latex-free supplies will be used
Ans: d. Notify the operating room staff so that latex-free supplies will be used
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The nurse is caring for a patient who has a fractured pelvis with a left acetabular fracture and is in a Thomas splint with a Pearson attachment with orders of bedrest. When the patient asks to toilet, which of these measures would be appropriate?
a. Ask patient to lift straight up using a trapeze mounted above the bed and slide a bedpan underneath from the right side. b. Turn patient onto right side, place the bedpan behind, and turn back. c. Help patient up on a commode very carefully. d. Have patient sit up as high as possible and lift self up with hands pushing on the bed, then slide the bedpan underneath.
Which client symptom change would most likely indicate, to the nurse, a progression of mitral stenosis?
A) Decreased systolic pressure B) Increased systolic pressure C) Widening pulse pressure D) Normal diastolic pressure
A nurse leads a "Healthy Aging" class at a community health center. Which question should the nurse use to generate discussion among participants in this setting?
A) "How did you adjust to your move from your house to the assisted living facility Irma?" B) "Are you satisfied with the care that you're getting from your family doctor, Elizabeth?" C) "Donald, could you tell us why your grandson is living with you?" D) "Have you had any tests done on your heart since we last met, Marie?"
Client's family members may be unable or unwilling to provide daily care because they
A) live far away. B) work outside of the home. C) are physically disabled. D) all of the above