The nurse is assessing bilateral deep pitting edema that rebounds in 10-20 seconds. The nurse would chart this as
A. +2
B. -4
C. -2
D. +4
Answer: A. +2
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Radiology results come back on a 44-year-old male cancer patient with a significant pleural effusion. He is breathing at a rate of 60 breaths per minute and has already had thoracentesis in the past to remove fluid
Current intervention should include which of the following? A) IV antibiotics B) IV antiviral agents C) Additional thoracentesis to reduce the fluid again. D) Bag/mask ventilation
What should the nurse include to assess for in the plan of care for a patient undergoing plasmapheresis?
a. Hypotension b. Hypersensitivity c. Urticaria d. Flank pain
The client demonstrates understanding of the implications for future pregnancies secondary to her classic uterine incision when she states:
1. "The next time I have a baby, I can try to deliver vaginally." 2. "The risk of rupturing my uterus is too high for me to have any more babies." 3. "Every time I have a baby, I will have to have a cesarean delivery." 4. "I can only have one more baby."
A patient who had a bladder repair following an injury from an automobile accident complains of pain. Which action would be considered an independent nursing intervention that does not re-quire a physician's order?
a. Give an analgesic medication. b. Apply a cold compress to the surgical site. c. Give a muscle relaxant. d. Irrigate the drainage tube.