A 41-year-old man recently had a cast applied to his left lower leg after a football injury in which he broke his tibia. After the application of the cast, the nurse felt the toes of his left and right feet. The nurse was assessing:
A. pain in the left foot.
B. neurostatus to see if he is ticklish in both feet.
C. skin temperature to see if he has impaired circulation.
D. pedal reflexes.
C
Always assess skin temperature for patients at risk for impaired circulation, such as after a cast application or vascular surgery.
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Which action would a hospital administrator take to meet the cultural and linguistic needs of Spanish-speaking community members?
A. Hire health care professionals from different Spanish-speaking countries. B. Ensure that all health care workers speak Spanish. C. Ensure that all signage is posted in Spanish as well as English. D. Ensure health services are in varying locations.
While auscultating a patient with pneumonia, a nurse hears low-pitched, rumbling coarse sounds during inspiration and expiration. These sounds can best be described as which of the following?
a. Crackles b. Rhonchi c. Wheezes d. A friction rub
The nurse is providing instructions for a woman who has just had an intrauterine device inserted. What is essential for the nurse to teach the woman?
1. To palpate her lower abdomen each month to check the patency of the device 2. To remain on bed rest for 24 hours after insertion of the device 3. To report any pain during intercourse to the physician 4. To insert spermicidal jelly within 4 hours of every sexual encounter
The multiparous patient at 33 weeks has experienced an intrauterine fetal demise. What finding requires immediate intervention?
1. Temperature 99.0°F 2. Platelet count 210,000 3. Fibrinogen level 50 mg/dl 4. Family refusing fetal autopsy