The patient, age 52, is recovering from a modified radical mastectomy. After this procedure, the postoperative elevation of a patient's arm with proper positioning is important to prevent
a. vascular and lymph stasis, thus lymphedema.
b. drainage accumulation at the incisional site.
c. wound infection and dehiscence.
d. pleural effusion and respiratory distress.
A
If the arm is not restricted by dressings, it may be elevated on a pillow with the hand and wrist higher than the elbow and the elbow higher than the shoulder joint. This will facilitate the flow of fluids through the lymph and venous routes and prevent lymphedema.
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When the pregnant diabetic experiences hypoglycemia while hospitalized, the nurse should have the patient
a. Eat 6 saltine crackers. b. Drink 8 oz of orange juice with 2 tsp of sugar added. c. Drink 4 oz of orange juice followed by 8 oz of milk. d. Eat hard candy or commercial glucose wafers.
The nurse is teaching a nutrition class for nursing students about palliative nutrition therapy. The goals of palliative nutrition therapy are providing comfort and relieving side effects. How can these goals be met?
A) Encourage the client to follow the primary caregiver's ordered diet. B) Provide mouth care when the client asks for it. C) Offer comfort foods if the client becomes anxious or fearful. D) Respect the client's wishes regarding the level of nutritional support desired.
Nurse P works in a well baby clinic. Because most of her mothers and babies live in a very rural area she is careful to:
1. Teach mother's the importance of supplemental fluoride. 2. Measure each child's length and plot on a growth chart. 3. Ask about family pets. 4. Refer qualifying mother's to WIC.
One of the first nursing tools to measure quality assurance was
1. American Nurses Association Standards of Practice 2. Joint Commission of Accreditation of Hospitals Nursing Audit Criteria 3. Community Health Nursing Practice Standards 4. Phaneuf Nursing Audit