The nurse instructs the postoperative patient to perform leg exercises every hour in order to:
A. maintain muscle tone.
B. increase venous return.
C. exercise fatigued muscles.
D. assess range of joint motion.
B
Early measures are directed at preventing venous stasis, which will prevent deep vein thrombosis (DVT).
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An elderly patient in the ICU has hyperthyroidism. As the nurse is talking with her, she suddenly becomes confused and starts babbling incoherently
The nurse takes her vital signs and finds tachycardia, a temperature of 98° F, and an elevated blood pressure reading. Which of the following is the most reliable indication that the patient has an infection? A) Delirium B) Temperature C) Blood pressure D) Tachycardia
After teaching a group of women in the community about common mental health disorders affecting them, the community health nurse determines the need for additional teaching when the group identifies which of the following as common in women?
A) Anxiety disorders B) Suicide completion C) Mood disorders D) Eating disorders
A patient diagnosed with bipolar disorder commands other patients, "Get me a book. Take this stuff out of here," and other similar demands. The nurse wants to interrupt this behavior without entering into a power struggle
Which initial approach should the nurse select? a. Distraction: "Let's go to the dining room for a snack." b. Humor: "How much are you paying servants these days?" c. Limit setting: "You must stop ordering other patients around." d. Honest feedback: "Your controlling behavior is annoying others."
The client is a high school student who is also a single parent. She is attending parenting classes while studying full-time and living in an apartment with her child
The student also meets twice a week with a teen peer group and participates in a nutrition program through the county. Which of the following is the most appropriate diagnosis for this client? A) High Risk for Caregiver Role Strain B) Risk for Situational Low Self-Esteem C) Readiness for Enhanced Nutrition D) Readiness for Enhanced Coping