A nurse receives an order to apply antiembolism stockings for a patient at risk for deep vein thrombosis. Which of the following is an accurate guideline for applying these stockings?
A) Apply the stockings at night when the patient is going to bed.
B) Apply the stockings after the patient has been sitting up for an hour.
C) If the patient was sitting up, have him or her lie down and elevate feet for 15 minutes before applying stockings.
D) Do not use powders or lotions on the legs before applying stockings.
C
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A patient has been admitted to the emergency department after being in a severe motor vehicle crash. The patient was a passenger and had a lap and seat belt in place. The patient is lethargic and moaning
Initial exposure and head-to-toe examination reveals scattered minor abrasions and contusions and bruising over the upper abdomen. The patient moans more when the abdomen is palpated, and the abdomen is rigid. Heart rate is 110, capillary refill is greater than 4 seconds, and blood pressure is 140/88 mm Hg. What is the nursing priority of care? A) Administer intravenous opioid for pain. B) Increase rate of intravenous crystalloid. C) Obtain CT of the abdomen. D) Prepare for immediate endotracheal intubation.
A patient with a history of mitral valve replacement, hypertension, and type 2 diabetes mellitus undergoes emergency surgery to remove an embolus in her right leg. Which factor contraindicates the use of epidural analgesia in this patient?
a. Anticoagulant therapy b. Diabetes mellitus c. Hypertension d. Embolectomy
The most accurate and reliable control of FiO2 can be achieved through the use of a(n)
a. simple mask. b. nonrebreathing circuit (closed). c. air-entrainment mask. d. nonrebreathing mask.
A patient is diagnosed with severe hyponatremia. The nurse realizes this patient will mostly likely need precautions implemented for what event?
1. seizure 2. infection 3. neutropenia 4. high-risk fall