A pregnant patient complains to the clinic nurse that her varicose veins are causing more discomfort than before. The nurse teaches the patient to: Note: Credit will be given only if all correct and no incorrec choices are selected
Select all that apply. 1. Increase the time she stands.
2. Walk on a daily basis.
3. Not cross her legs at the knees.
4. Wear support hose.
5. Hyperextend her knee with her feet up.
2,3,4
Rationale 1: The patient should be advised to sit more, not to stand.
Rationale 2: Walking on a daily basis will increase the venous circulation.
Rationale 3: Crossing her legs at the knees will restrict venous return to the heart.
Rationale 4: Support hose can help increase the venous return to the heart.
Rationale 5: Hyperextending the knee is not recommended; the entire leg should be supported when elevated.
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The nursing staff is admitting a client diagnosed with diabetic ketoacidosis (DKA)
The licensed practical nurse (LPN) asks the registered nurse (RN) if the pulse oximeter needs to be placed on the client. Which response by the RN to the LPN is the most appropriate? 1. "Please place the pulse oximeter on the client." 2. "I will let you know after I complete my assessment." 3. "Thanks, but that is something I have to do for the client." 4. "We don't have an order to do that."
Which nursing intervention is appropriate for the hospitalized neonate?
a. Assign the neonate to a room with other neonates. b. Provide play activities in the hospital room. c. Offer the neonate a pacifier between feedings. d. Request that parents bring a security object from home.
Which of the following should make the nurse suspect a biological event? (Select all that apply.)
a. Large numbers of ill persons with unexplained similar symptoms b. Unexplained deaths among young and healthy populations c. A patient population with symptoms suggestive of a common agent d. An unusual geographical pattern associated with the symptoms
To reassure and educate pregnant clients about changes in the cervix, vagina, and position of the fetus, nurses should be aware that:
a. Because of a number of changes in the cervix, abnormal Papanicolaou (Pap) tests are much easier to evaluate. b. Quickening is a technique of palpating the fetus to engage it in passive movement. c. The deepening color of the vaginal mucosa and cervix (Chadwick's sign) usually appears in the second trimester or later as the vagina prepares to stretch during labor. d. Increased vascularity of the vagina increases sensitivity and may lead to a high degree of arousal, especially in the second trimester.