The greatest danger in the early postoperative period after an amputation is:
1. infection.
2. hemorrhage.
3. pain.
4. edema.
2
Hemorrhage is the greatest danger in the early postoperative period after an amputation.
PTS: 1 DIF: Cognitive Level: Application REF: 941
OBJ: 4 TOP: Complications
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe, Effective Care Environment
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The nurse has a concern regarding the quality of care being provided in the hospital. What should the nurse consider first before communicating this concern?
1. The medium of the message 2. The relationship between the nurse and the receiver of the message 3. The timing of the message 4. What to include in the message
A nurse on the orthopedic unit is assessing a patient's peroneal nerve. The nurse will perform this assessment by doing which of the following actions?
A) Pricking the skin between the great and second toe B) Stroking the skin on the sole of the patient's foot C) Pinching the skin between the thumb and index finger D) Stroking the distal fat pad of the small finger
The nurse is caring for a client who had surgery 24 hours ago. He is alert and oriented when awakened and reports pain, but goes back to sleep when not being stimulated. He is on pa-tient-controlled analgesia (PCA)
What is the nurse's next action? a. Push the PCA control for the client. b. Discontinue the PCA immediately. c. Assess the client's respiratory status. d. Keep the client awake as much as possible.
The use of critical thinking skills during the assessment phase of the nursing process ensures that the nurse
a. Completes a comprehensive database. b. Identifies pertinent nursing diagnoses. c. Intervenes based on patient goals and priorities of care. d. Determines whether outcomes have been achieved.