The nurse is planning the care for a patient who is to have a saphenous vein stripping. What will be the priority intervention?
a. Bed rest and leg elevation for the first 12 to 24 hours
b. Assessing the need for significant pain relief
c. Massaging the legs to stimulate sluggish circulation
d. Elevating the legs to prevent hematoma
A
Bed rest with leg elevation the first night after surgery is the standard of care. The legs are wrapped with Ace bandages to prevent hematomas and stimulate sluggish circulation. There is only minimal discomfort. Legs should not be massaged in any patient undergoing vein stripping.
You might also like to view...
The nurse has been working with the parents of a dying child. The nurse has explained signs of imminent death. Which statement by the parents indicates that they understand the teaching?
1. "I understand that my child can see me until the very end." 2. "Dying children always lose consciousness a few hours before they pass." 3. "My child may become flushed as his heart slows down." 4. "My child may see visions that I cannot see."
When a patient has a suspected vestibular disorder, the physician orders electronystagmog-raphy. The nursing instruction for this test will include:
1. the use of tea or coffee on the morning of test. 2. that electrodes are placed on the scalp. 3. air will be blown into the external ear. 4. NPO 3 hours prior to the test.
Which action can the nurse take to evaluate an internet resource?
a. Assume that the resource is credible if it is on an internet page. b. Determine if the resource provides evi-dence for claims made. c. Assess the popularity of the resource. d. Determine the date the resource was pub-lished; older material is more reliable.
A nurse notes documentation in a client's medical record indicating that the client is experiencing oliguria. On the basis of this notation, the nurse determines which about the client when planning care?
A. Is unable to produce urine B. Is voiding large amounts of urine C. Has difficulty with leakage of urine D. Has a diminished capacity to form urine