A nurse assesses a patient following removal of a femoral line and observes that the affected extremity is cold and pulseless. What is the appropriate intervention in this situation?
A) Apply pressure to the site.
B) Apply heat compress to the site.
C) Immediately notify primary care provider.
D) Place extremity in basin of warm water.
C
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During the assessment of a client's integumentary status the nurse notes "vitiligo present bilateral hands." Which analysis of this information is the most appropriate by the nurse?
1. Nodules with ulcerations. 2. Dark, asymmetrical colored patches. 3. Grouped vesicles. 4. Abnormal loss of melanin in patches.
The nurse, caring for a patient about to undergo gastric bypass surgery, explains that the majority of nutrients are absorbed where?
A) Sigmoid colon B) Stomach C) Small intestine D) Ascending colon
A client with significant blood loss is to receive blood transfusion in an emergency. Which of the following blood groups would be compatible with his O Rh-positive blood group?
A) O Rh-positive or O Rh-negative C) Only O Rh-negative B) Only O Rh-positive D) AB Rh-positive or Rh-negative
The mother of a 3-month-old infant is distraught because the child vomits after every feeding. After an assessment, the nurse determines that the infant is experiencing regurgitation and not vomiting
What did the nurse assess in the infant? (Select all that apply.) A) Slight sour smell B) Occurs after a feeding C) Accompanied by prolonged crying D) Runs out of the mouth with no force E) Volume amount similar to entire stomach contents