The nurse is assessing a client with a body cast. Which assessment finding indicates a complica-tion that must be reported to the health care provider?
a. Blood pressure, 130/85 mm Hg
b. Urinary output, 40 mL/hr
c. Redness around the edges of the cast
d. Vomiting after meals
D
The client in a body cast is monitored for cast syndrome, which results in intestinal obstruction. Vomiting after meals may indicate that this is occurring. Bowel sounds might be "normal" with this condition. The rest of the assessments are not related to cast syndrome.
You might also like to view...
The nursing student knows that examples of important nonverbal communication include (Select all that apply.)
a. eye contact. b. facial expressions. c. hand and arm gestures. d. touch. e. use of personal space.
A practice manager working for a busy pediatric orthopedic practice is worried that the wait time for the patients is becoming far too long
She decides to do some research about similar practices regarding standard waiting-room time to see how her practice compares. What is this comparison an example of? A) Consumer satisfaction B) Financial performance C) System integration D) Benchmarking
Which third-trimester woman would you suspect might be having difficulty with psychological adjustments to her pregnancy?
1. A woman who says, "Either a boy or a girl will be fine with me." 2. A woman who puts her feet up and listens to some music for 15 minutes when she is feeling too stressed 3. A woman who was a smoker but who has quit at least for the duration of her pregnancy 4. A woman who has not investigated the kind of clothing or feeding methods the baby will need
The nurse knows that caring for two patients with the same last name can lead to a medication error involving which right of medication administration?
a. Right medication b. Right patient c. Right dose d. Right route