A nurse is developing a plan of care for a woman who is at risk for thromboembolism. Which of the following would the nurse include as the most cost-effective method for prevention?
A) Prophylactic heparin administration
B) Compression stocking
C) Early ambulation
D) Warm compresses
C
Feedback:
Although compression stockings and prophylactic heparin administration may be appropriate, the most cost-effective preventive method is early ambulation. It is also the easiest method. Warm compresses are used to treat superficial venous thrombosis.
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A 22-year-old college student is allergic to penicillin. Consequently, her current chlamydial infection is being treated with oral erythromycin. What assessment should the nurse prioritize during this patient's course of treatment?
A) Assessment of the patient's apical heart rate B) Assessment of the patient's hearing C) Assessment of the patient's peripheral pulses D) Assessment of the patient's renal function
When the newly admitted 2-year-old who was potty-trained before admission begins to wet the bed, the mother is frightened. What statement by the nurse will be most helpful to the mother?
a. "Don't be concerned. Accidents happen." b. "Let's put a diaper on your child until this gets better." c. "The stress of hospitalization makes children regress a little." d. "Your child will relearn 'potty-training' if you are patient."
When assessing an older adult client for pain, the nurse should recognize which of these statements as TRUE?
a. Older clients often do not report pain for fear of being considered "complainers." b. Older clients request pain medication more frequently to prevent complications. c. Older clients believe that taking pain medication will hasten death. d. Older clients have little experience with the increased efficacy of current pain medications.
Which statement about sildenafil (Viagra) is true?
A. Frequent use of this medication can lead to the development of hypertension. B. Sexual stimulation is needed within 30 to 60 minutes of taking the drug to pro-mote the erection. C. The drug is most effective if taken in the morning, after at least 6 hours of REM sleep. D. Clients should be cautioned about priapism because of a rebound effect occurring approximately 3 hours after ingestion of the medication.