A provider prescribes a rewarming bath for a client who presents with partial-thickness frostbite. Which action should the nurse take prior to starting this treatment?
a. Administer intravenous morphine.
b. Wrap the limb with a compression dressing.
c. Massage the frostbitten areas.
d. Assess the limb for compartment syndrome.
ANS: A
Rapid rewarming in a water bath is recommended for all instances of partial-thickness and full-thickness frostbite. Clients experience severe pain during the rewarming process and nurses should administer intravenous analgesics.
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A patient with acute pancreatitis is being cared for in intensive care
After several days of therapy, the patient has worsening hypoxemia that does not respond to oxygen therapy, lung sounds are diminished, and there is a patchy infiltrate on the chest x-ray. The patient also has a fever, abdominal distention, and severe pain despite narcotic therapy. What complication of pancreatitis does the nurse most suspect? A) Acute respiratory distress syndrome (ARDS) B) Nonspecific arterial hypoxemia C) Compression of lung by abdominal fluid D) Hypoventilation secondary to severe pain
When caring for the couple in which the wife is considering tubal ligation because she is concerned about her children inheriting her husband's family's mental retardation, a primary nursing intervention would be to
A) help the woman reject the idea of sterilization. B) strengthen the couple's resolve to remain childless. C) help the couple decide to have children. D) increase the couple's knowledge about genetic inheritance.
The nurse is caring for a client who has received multiple serious injuries in a motor vehicle accident. The client asks the nurse why ranitidine (Zantac) is prescribed because she does not have any abdominal pain
Which is the nurse's best response? a. "It will help prevent the development of a stomach ulcer from the stress of your injuries." b. "It will help prevent aspiration pneumonia when you are anesthetized during surgery tomorrow." c. "It will help your throat heal after it was irritated from the nasogastric tube." d. "It will help prevent nausea and vomiting from the narcotic pain medications that you are taking."
While a nurse conducts a health history related to mental health, it is important to consider common risk factors associated with depression
Of the questions below, those labeled with numbers ____________________ are appropriate to ask when assessing for risk factors for depression. (Your answer should appear as numbers separated by commas and spaces [e.g., 1, 2, 3, 4].) 1. "Has anyone in your family ever been diagnosed with depression?" 2. "Have you noticed a change in how much energy you have?" 3. "Do you have crying spells?" 4. "Do your muscles seem tense?" 5. "Do you feel that something bad is about to happen to you?" 6. "Do you have difficulty making decisions?"