The nurse is planning to evaluate a postpartum patient's lower extremities. What should the nurse do for this assessment? (Select all that apply.)
A) Check pulses
B) Inspect for edema
C) Evaluate capillary refill in the toes
D) Ask the patient to dorsiflex the calf
E) Assess for coolness of skin temperature
Ans: A, B, C, D
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A home health agency has a policy requiring nurses to make routine visits at night. How might politics be used to change this policy?
1. Make visits during the day and tell the supervisor clients are not home when visited at night. 2. Obtain research material to provide reasons why routine nursing visits at night are not as effective as during daytime. 3. Encourage others to refuse to make routine visits at night so you will not be alone. 4. Take the supervisor to lunch and invite all the staff to join to talk the supervisor into changing the policy.
A patient is diagnosed with septic shock and has a decrease in afterload. The nurse would expect which initial changes in the patient's cardiac status?
1. Increase in cardiac output 2. Increase in blood pressure 3. Decrease in cardiac output 4. Decrease in blood pressure 5. No change in blood pressure or cardiac output
Suicidal ideation is considered a physiological response to stress.
Answer the following statement(s) true (T) or false (F)
A caregiver who works in the hospital brings his 9-year-old son to the emergency room with a spiral fracture of the tibia. The caregiver reports that the injury occurred when the boy's 5-year-old sister hit him with wooden bat
The injury is inconsistent with an impact and with the sister's strength. Which of the following would be appropriate for the nurse to do in this situation? A) Tell the caregiver that the story is not plausible and ask what really happened. B) Leave the treatment area and call the police. C) Leave the treatment area and call the social services department in the hospital. D) Let the hospital administrator know so that the hospital can take any necessary action.