The patient recently had a cast applied to his left lower leg after a football injury in which he broke his tibia. After the application of the cast, the nurse felt the toes of his left and right feet
To assess circulation in the left foot, the nurse should do which of the following? a. Use the tips of her fingers to assess temperature.
b. Expect that the temperature in the left leg will be lower than that in the right.
c. Expect that the temperature of the left foot to be the same as the right foot.
d. Expect that the left foot will be warmer than the left.
C
Compare symmetrical body parts, which should be the same in assessment. Always assess skin temperature for patients at risk for impaired circulation, such as after a cast application or vascular surgery. Normally the skin temperature is warm. Skin temperature is the same throughout the body. Accurately assess temperature by palpating the skin with the dorsum, or back, of the hand.
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A client verbalizes a fear of contracting HIV because she has a history of intravenous substance abuse. What instructions does the nurse provide to the client to help minimize this risk?
a. "Boil all needles and syringes for at least 20 minutes before using them again and be sure not to share them." b. "Rinse used needles and syringes with water followed by laundry bleach after using them." c. "Rinse used needles and syringes with rubbing alcohol before and after using them." d. "Run all needles and syringes through the dishwasher with an extra rinse cycle be-fore using them again."
The chest x-ray of a patient who was recently intubated shows the endotracheal tube located in the right bronchus. What does the nurse recognize related to this finding?
1. The tube needs to be withdrawn slightly. 2. The tube needs to be inserted further. 3. The tube is correctly placed. 4. The tube is incorrectly attached to the ventilator.
Which nursing activity is part of the termination phase of a home visit?
a. Conducting a physical assessment b. Identifying household members c. Summarizing accomplishments of the visit d. Teaching about health
A pediatrician ordered Demerol 1 mg/kg/day p.o., divided q.4h p.r.n. for a child who weighs 33 lbs
How many milligrams of Demerol should the child receive per dose?