Mr. Strong has an epidural catheter. Which of the following observations should you report to the nurse immediately?
A) The patient complains of a headache.
B) Mr. Strong is voiding frequently.
C) Mr. Strong says his chest and throat itch.
D) The patient complains of feeling tired.
C
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The nurse is caring for a patient with a pressure ulcer. An expected outcome of a patient with impaired skin integrity is healing of the pressure ulcer. The nurse assesses that the outcome has been achieved by observing which of the following?
A) Patient performs range-of-motion exercises B) Patient avoids pressure on the healing site C) Patient elevates body parts susceptible to edema D) Patient demonstrates improved level of consciousness
Clients receiving mydriatics should be encouraged to wear sunglasses until the effects of the mydriatic have worn off
Indicate whether the statement is true or false.
The patient delivered 30 minutes ago. Her blood pressure and pulse are stable. Vaginal bleeding is scant. The nurse should prepare for which procedure?
1. Abdominal hysterectomy 2. Manual removal of the placenta 3. Repair of perineal lacerations 4. Foley catheterization
Before applying an aquathermia pad, you need to:
a. Put the pad in a cover b. Put on gloves c. Place the signal light within reach d. Measure vital signs