The nurse is caring for a patient who is on a heparin drip for a deep vein thrombosis (DVT). During the bath, the nurse will wash the lower extremities using which of the following?
a. Circular motion to massage the legs
b. Long, firm strokes toward the heart
c. Short, firm strokes toward the heart
d. Short, light strokes
D
In a patient with a current DVT, light short strokes are recommended. Because of the risk of dis-lodging a deep vein thrombosis, do not use long, firm strokes to wash the lower extremities of patients with a deep vein thrombosis or blood-clotting disorder. Use short, light strokes instead. Avoid massaging the legs.
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The nurse is caring for a patient who has digoxin toxicity. As the nurse assesses the changes in the patient's daily activities, what finding could indicate the cause of the toxic level?
A) The patient has been sleeping more lately. B) The patient took nitroglycerin for chest pain twice yesterday. C) The patient's daughter brought her a bag of licorice that she has been enjoying. D) The patient's intake of sodium increased lately because she's been eating seafood.
A 50-mL vial contains 3.75 g of sodium bicarbonate. The percent of solution in this vial is ______________
a. 13.3% b. 0.075% c. 3.75% d. 7.5%
The nurse is instructing the patient on measures to take to prevent complications from venous insufficiency. One such measure will include:
A) Avoiding tight-fitting socks B) Reducing activity C) Sleeping with legs dependent D) Avoiding pressure stockings
A client at the end of life has an antimuscarinic medication ordered for secretion management. When is the ideal time for the nurse administer this medication?
A) At the first sign of the death rattle B) When the death rattle can be heard from several feet away C) Before the death rattle occurs D) If the death rattle upsets the family