A nurse who is caring for a male patient after a left-side total hip replacement recognizes that further teaching is required when
1. The patient alternately flexes and extends the toes of both feet.
2. The patient circles both ankles clockwise and counterclockwise.
3. The patient bends the knees slightly and helps pull himself up in bed using the trapeze.
4. The patient turns on his right side and lifts the left leg with his toes pointed and then returns the leg to the midline.
ANS: 4
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The pediatric nurse assessing a patient for breath sounds documents a loud, high-pitched sound heard only over the trachea. The nurse should document this finding as which of the following?
A. Adventitious breath sound B. Bronchial breath sound C. Bronchovesicular breath sound D. Vesicular breath sound
A nurse completing a hospital discharge to home understands that which of the following interventions is most important before discharge
a. Medication reconciliation b. Providing a list of community resources c. Contacting a durable medical equipment facility d. Educating the client on appropriate range-of-motion exercises
The nurse is providing care to a patient in the burn unit. What should the nurse do to ensure an adequate nutritional status for this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Plan for a parenteral nutrition access site. 2. Ensure that 5 g/kg of protein are provided daily. 3. Keep the patient NPO. 4. Report daily weights to avoid a weight loss of >10%. 5. Ensure the patient receives a minimum of 35 to 40 calories/kg of body weight each day.
Explain the relationship of each of the three types of fat and cholesterol intake to cardiovascular disease