Traumatic injuries suffered in a workplace accident have required a 30-year-old man to have a below-the-knee (BKA) amputation. At what point following surgery should the nurse begin range-of-motion (ROM) exercises with this patient?
A) As soon as possible following surgery
B) Once the patient has been fitted with a prosthesis
C) After it has been determined that there are no postsurgical complications
D) Four to six weeks after surgery
A
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During the nurse's initial assessment of a school-age child, the child reports a pain level of 6 out of 10. The child is lying quietly in bed watching television. The nurse should:
1. Administer the prescribed analgesic. 2. Ask the child's parents if they think the child is hurting. 3. Reassess the child in 15 minutes to see if the pain rating has changed. 4. Do nothing, since the child appears to be resting.
A 92-year-old client is brought to the emergency department with complaints of fever, nausea, and vomiting for the past 2 days. The client denies thirst, and urine specific gravity is below normal values
The nurse would interpret this finding to be consistent with which of the following? 1. Fluid overload 2. Normal changes of aging 3. Dehydration 4. Congestive heart failure
The nurse is teaching a patient how to give a subcutaneous injection. The nurse includes which sites as acceptable for this route of administration? (Select all that apply.)
a. Ventrogluteal area between the greater trochanter and the iliac crest b. Outer aspect of the upper arms c. Abdomen from below the costal margins to the iliac crests d. Anterior thighs
The nurse is collecting the paintings from the clients after the art session is over. A client hands the nurse his paper, which consists of several black scribbles. Which statement reveals nurse un-derstanding of the goals and objectives of art therapy?
1. "(Name), do you want to complete your painting?" 2. "What happened, (Name), don't you like to paint?" 3. "Can you tell me what happened, (Name)?" 4. "Thank you, (Name), I'll put this away for you."