The nurse is reinforcing teaching for a patient who has had a total hip replacement on correct sitting positions. Which position should the nurse teach the patient to avoid?
a. Elevating legs
b. Crossing legs
c. Flexing ankles
d. Extending knees
ANS: B
Legs should be kept abducted (away from center of body), so legs should not be crossed.
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The parents of a 2-year-old child who sustained severe head trauma from falling out of a second-story window are arguing in the pediatric intensive care unit (PICU) and are blaming each other for the child's accident
The best nursing diagnosis for this family is: 1. Parental Role Conflict related to protecting the child. 2. Hopelessness related to the child's deteriorating condition. 3. Anxiety related to the critical care unit environment. 4. Family Coping: Compromised, related to the child's critical injury.
The client will be using transcutaneous electrical nerve stimulation (TENS) for the treatment of lower back pain. What does the nurse explain to the client that this will do for his back pain?
A) Deliver a burst of electricity to the skin and underlying nerves, decreasing pain B) Causes decrease in vasodilation to decrease swelling C) Applies heat to the skin and subcutaneous tissues D) Interrupts the pain pathways in the spinal cord
A patient is brought to the ED by ambulance after swallowing highly acidic toilet bowl cleaner 2 hours earlier. The patient is alert and oriented. What is the care team's most appropriate treatment?
A) Administering syrup of ipecac B) Performing a gastric lavage C) Giving milk to drink D) Referring to psychiatry
The nurse decides to respond to a disaster in another city. When arriving at the scene, what should the nurse do first?
1. Begin treating triaged patients. 2. Survey the scene for personal safety. 3. Locate the check-in station. 4. Begin triaging patients.