The nurse assesses the client after applying skeletal traction to the head of the femur. Which clinical finding is inconsistent with the client's baseline data but acceptable to the nurse?
1. Decreased sensation in the affected foot
2. Heightened client anxiety after procedure
3. Lower leg pallor, weak pulse, and cool skin
4. Minimal bloody drainage from the pin sites
4
4. Minimal bloody drainage after pin insertion is an acceptable clinical finding after an invasive procedure because it reflects a normal amount of drainage produced with punctures.
1. Decreased sensation is consistent with clinical indicators for neurovascular im-pairment from nerve compression or irritation.
2. Client anxiety related to a procedure is more common before the procedure; how-ever, exposure to new therapy can cause client anxiety.
3. These client data are consistent with clinical indicators for impaired perfusion, probably from compression of the affected leg because of edema and the original trauma.
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A patient who has been taking nalidixic acid (NegGram) for a urinary tract infection is now diagnosed with a respiratory infection
The patient asks, "Will the nalidixic acid I'm taking cover both infections?" Select the nurse's best response. a. "The drug you are on will cover you for organisms in the respiratory tract as well. Continue taking it as prescribed." b. "To cover the respiratory tract infection, you will need two additional doses of this medication." c. "This drug can actually cause respiratory tract infections, so you should discon-tinue it immediately." d. "The drug you're taking has no action outside the urinary tract. You will need an additional antibiotic for the respiratory tract infection."
A researcher intends to collect data, including patients' ratings of pain and anxiety, during a procedure. No electrical equipment or photography may be used in the procedure room
In order to record the various pain and anxiety ratings, the researcher may plan to use which of the following? (Select all that apply.) a. A plug-in word processor b. A form with large margins, or a column for comments, or both c. A pencil with an eraser d. A form with pre-labeled columns and rows e. A cell phone with camera
Parents of a 17-year-old patient diagnosed with schizophrenia ask the nurse what the future will be like for their child. The nurse's answer should be based on knowledge that the usual course of illness is
a. a steady lessening of symptoms until stability is achieved. b. characterized by alternating acute and stable phases. c. totally different for each individual patient. d. progressive deterioration.
A bolus is a ball of
a. masticated food ready to be swallowed. b. fat emulsified with bile and intestinal se-cretions. c. mucus that helps move food along the ga-strointestinal tract. d. indigestible fiber mixed with the waste products of digestion.