To prevent post-operative thrombophlebitis, which one of the following measures is effective?
A. Elevation of the leg on two pillowsAn 84-year-old man has arthritis and is admitted for a severely edematous knee. The physician orders heat packs every 2 hours and you feel this order may worsen the tissue congestion. An appropriate nursing action would be:
A. Contact the physician and discuss your concerns about the orderA patient has been taking Aluminum Hydroxide daily for 3 weeks. The nurse should be alert for which of the following side effects?
A. ConstipationThe patient with liver cirrhosis receives 100 ml of 25% serum albumin intravenously. Which of the following findings would best indicate that the albumin is having its desired effect?
A. Decreased blood pressureTo ensure safe practice during defibrillation, the nurse must:
A. Cover paddles with electrode gelA patient who presents with acute weight loss, dry skin and mucous membranes and decreased urine output is most likely be suffering from: A. Fluid volume deficit
B. Acute renal failureA patient with deep partial-thickness and full-thickness burns of the face and chest is admitted to the emergency department. The nurse must be particularly alert for:
A. Paralytic ileusA 13 year old girl with manifestations of rheumatic heart disease is admitted to hospital. Which of the following laboratory blood findings would confirm that she likely has had a streptococcal infection within the past two weeks?
A. Decreased leukocyte countThe physician orders 20 u of U-100 regular insulin. The only syringe on hand is a 1 ml tuberculin syringe. How many milliliters should be administered?
A. 0.02 mlA patient arrives at the emergency department with slurred speech and a right facial droop. The patient's relative states the patient "is not himself." Upon assessment, the nurse finds paresthesia to the right side of the body, receptive aphasia, hemianopia and altered cognitive abilities. The nurse should suspect:
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