ANSWERS
Which5information5is5most5important5for5the5nurse5to5obtain5in5the5initial5assessment?5-
5ans--"Tell5me5about5concerns5you5have5about5being5hospitalized."
What5action5should5the5nurse5implement5to5help5reduce5Mr.5Mathis'5anxiety5during5the5a
dmission5process?5-5ans--Explain5the5room5environment5to5Mr.5and5Mrs.5Mathis.
When5care5is5planned5for5Mr.5Mathis,5which5nursing5diagnosis5should5take5priority?5-
5ans--Impaired5physical5mobility.
Which5goal5is5correct5for5Mr.5Mathis'5diagnosis5of5impaired5physical5mobility?5-5ans--
The5client5will5sit5in5the5chair5for5each5meal5beginning5on5the5day5of5admission.
Which5instructions5should5the5nurse5convey5to5help5prevent5venous5thromboembolism5(
VTE)5in5Mr.5Mathis'5legs?5-5ans---
Teach5Mr.5Mathis5to5dorsal5flex5and5plantar5flex5his5feet5while5in5the5bed5and5chair.5
-Instruct5Mr.5Mathis5to5wear5sequential5compression5stockings.
-Explain5that5enoxaparin5injections5will5be5administered5routinely.
The5nurse5is5observing5a5student5nurse5perform5a5peripheral5assessment5on5Mr.5Mathis.
5Which5action5requires5the5nurse5to5intervene?5-5ans--
Assessing5the5Homan's5sign5in5bilateral5extremities.
The5HCP5has5prescribed5thigh-
high5antiembolic5hose5for5Mr.5Mathis.5The5nurse5assesses5the5client's5legs5every585hour
s.5Which5assessment5finding5reflects5signs5of5possible5thrombophlebitis5that5should5be5r
eported5to5the5HCP?5-5ans--Unilateral5calf5edema.
Which5instruction5should5the5nurse5give5to5the5unlicensed5assistive5personnel5(UAP)5for5
positioning5Mr.5Mathis'5legs?5-5ans--
Use5two5pillows5and5place5one5lengthwise5under5each5calf.
Which5nursing5diagnosis5best5applies5to5Mr.5Mathis'5nutritional5assessment?5-5ans--
Imbalanced5nutrition:5less5than5body5requirements.
The5nurse5instructs5Mr.5Mathis5to5increase5his5intake5of5which5foods5to5prevent5a5decrea
se5in5bone5density?5-5ans--Calcium5rich5foods.
Which5foods5should5the5nurse5encourage?5-5ans--Milk,5oatmeal,5and5an5orange.