While assessing a patient who has had knee replacement surgery, the nurse notes that the patient has developed a hematoma at the knee replacement surgical site. The affected leg has a decreased pedal pulse
What would be the most appropriate nursing diagnosis for this patient?
A) Risk for infection
B) Risk of peripheral neurovascular dysfunction
C) Ineffective health maintenance
D) Self-esteem disturbance
Ans: B
Feedback: The hematoma may cause an interruption of tissue perfusion, so the most appropriate nursing diagnosis is Risk of peripheral neurovascular dysfunction. Therefore options A, C, and D are incorrect.
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An infant, aged 2 months, has a Candidal diaper rash. Which of the following medications will the nurse most likely apply to this rash?
1. Bacitracin ointment 2. Hydrocortisone ointment 3. Desitin 4. Nystatin given topically and orally
The nurse is providing range-of-motion exercises to a patient who is comatose. Which type of range-of-motion is the nurse providing?
A) Active range of motion B) Active assistive range of motion C) Resistive range of motion D) Passive range of motion
A mother seems concerned as she asks why her infant is walking sideways while holding onto furniture. The best response by the nurse is:
a. "You need to get a neurological consultation for your baby, to rule out some pathology." b. "If you hold the baby's hands while the baby walks, you can break the baby of this habit." c. "Infants start walking sideways while holding onto furniture before they walk or stand alone." d. "You need to make an appointment with your pediatrician and have this problem checked out."
Which law states that only drugs that meet official standards may be prescribed and sold?
A. Drug Regulation and Reform Act of 1978 B. Pure Food and Drug Act of 1906 C. Food, Drug, and Cosmetic Act of 1938 D. Controlled Substances Act of 1970