A nurse is caring for a client with a fractured wrist that is currently in a cylinder cast. Which of the following actions should the nurse perform to assess the neuromuscular function of the client?
A) Monitor the mobility of the fingers.
B) Assess the sensation in the exposed fingers.
C) Observe the color of the client's nail beds.
D) Measure pulse oximetry on an exposed finger.
A
Feedback:
To identify the neuromuscular function of the client, the nurse should monitor the mobility of the fingers. Assessing the sensation in the exposed fingers provides data about neurovascular complications. The nurse can observe the color of the nail beds only if he or she compresses them and determines the time for the color to return following blanching.
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a. Provide hygienic care, including hair care, in their presence. b. Tell the family to ask any questions that they have about the patient. c. Place the patient's valuables in the body bag to accompany the patient to the mor-gue. d. Share past experiences of grief with the family so they understand that what they are feeling is not unique.
A nurse is conducting a prenatal class for expectant parents. What is one topic that should be addressed to promote safety in the developing fetus?
A) alcohol consumption and smoking B) infant hygiene and feeding C) the stages of labor with possible complications D) the role of the father in proper prenatal care
The nurse prepares the male client for NGT removal and the client becomes anxious. Which does the nurse use to reassure the client before removing the NGT?
1. Grasp the tube and remove it quickly. 2. Medicate the client with an analgesic. 3. Tell the client this procedure is painless. 4. Inform client that it takes a few seconds.
A nurse begins a patient interaction by systematically gathering information on the patient’s care and eventually evaluating the outcomes of care. Which of the following represents this continuum of care?
A) Assessment process
B) Outcomes analysis
C) Nursing interventions
D) Nursing process