The woman who gave birth a day ago complaint of pain warmth and cold to her left calf. The nurse suspects a DVT and implements and what nursing priority ? A. A palpation of the affected leg for edema. B. dorsiflex the foot of the affected leg. C. perform Horman sign on the affected leg. D. place the client on bed rest, with the affected leg elevated
Answer: D. place the client on bed rest, with the affected leg elevated.
DVT causes edema; therefore, the nurse should elevate the extremity to promote venous return.
The woman who gave birth a day ago complaint of pain warmth and cold to her left calf. The nurse suspects a DVT and impl...
11. A woman who is in the first trimester of her pregnancy has told the nurse, "l've stopped taking my blood pressure pill because I know it could harm the baby. Instead, I've started taking natural and herbal remedies." What nursing diagnosis is suggested by the woman's statement? a. Deficient knowledge related to drug and herbal effects b. Health-seeking behaviors related to protection of fetal c. Acute confusion related to the potential teratogenic d. Effective therapeutic regimen management related to...
424. You are the nurse caring for 82 year old women in the PACU. The woman begins to awaken and responds to her name but is confused, restless and agitated. What are you aware of? A. Postoperative confusion is an indication of an oxygen problem or possibly a stroke during surgery. B. Confusion, restlessness, and agitation are normal postoperative findings and will diminish in time C. Postoperative confusion is common in the elderly, but it could also indicate a significant...
The nurse is counseling a client with a poor appetite and weight loss. Which priority intervention should the nurse recommend? Eat your favorite foods to get additional calories, no matter what they are. Consume high protein, high-calorie replacement drinks between meals. Take a daily vitamin. Eat 6 small meals each day. A client is prescribed a diet that can be advanced as tolerated. How does the nurse recognize that the client is ready to be started on regular food? Select...
Musculoskeletal Nursing Which of the following nursing interventions is appropriate care for a client who is two days post op with a below the knee amputation of the left leg? Wrap the stump only at night so the suture line is open to air during the day. Encourage the patient to lie only on their back and unoperative side. Elevate the foot of the bed slightly to decrease edema. Elevate the stump on pillows to prevent contractures. The nurse is...