After a skin graft procedure to the leg, a client is returned to the burn care unit. Based on this data, which action by the nurse is appropriate?
A) Placing the client flat with the affected extremity abducted.
B) Elevating the head of bed 30 °
C) Maintaining the head of the bed flat
D) Elevating the affected extremity
Answer: D
Elevating the affected extremity will reduce edema and promote perfusion. Elevating the head of bed, leaving the head of bed flat, and abducting the extremity will not increase healing or improve the client's long-range prognosis.
You might also like to view...
The client receiving a blood transfusion calls the nurse, and requests acetaminophen for her headache and lotion to apply to a rash that she just noticed. The priority nursing intervention is to:
1. Offer to apply the lotion for her. 2. Administer the p.r.n. acetaminophen ordered by the provider. 3. Reduce the rate of blood infusion. 4. Discontinue the blood.
A baby was born 4 days ago at 34 weeks' gestation and is receiving phototherapy for neonatal jaundice. The baby has symptoms of temperature instability, dry skin, poor feeding, lethargy, and irritability
What are the nurse's priority nursing interventions? (Select all that apply.) A. Assess the baby's temperature to check for hypothermia. B. Check to make sure the infant's face mask stays in place. C. Educate the mother to feed the child every 2 hours. D. Verify laboratory results to check for hypoglycemia. E. Verify laboratory results to check for hypomagnesemia.
A male patient is trying to decide if he should use finasteride (Proscar) to treat benign prostatic hypertrophy (BPH)
When providing information about the drug, the nurse will include which of the following as a risk associated with finasteride therapy? A) Excess fluid volume related to potential effects of drug therapy B) Hypercalcemia related to drug therapy, immobility, and breast cancer C) Sexual dysfunction related to erectile dysfunction D) Prostatic neoplasia
A pregnant woman is having a nipple-stimulated contraction stress test (CST). Which result indicates hyperstimulation?
A. The fetal heart rate decelerates when three contractions occur within a ten-minute period. B. The fetal heart rate accelerates when contractions last up to 60 seconds. C. There are more than five fetal movements in a ten-minute period. D. There are more than three uterine contractions in a ten-minute period.