Pratmo

Above the knee amputation: • Assist patient to prone position every 4 hours • Wrap limb in distal to proximal direction • Do not elevate after 48hrs to prevent flexion contractures • Aphasia • Limits ability to communicate • Does not affect swallowing and eating • May occur suddenly after stroke ,head injury or develop slowly from a growing tumour or disease • Radiation therapy: • Can wash irradiated area with mild soap and water • Avoid applying lotion to irradi...

A nurse is planning a primary prevention strategy for reducing obesity in a community. Which of the following strategies should the nurse use? educate children about nutrition and exercise at a daycare center 2. A community health nurse is developing health promotion activities for a community. Which of the following is the highest priority action? participate in community assessment to identify community health problems 3. A home health nurse is scheduling client visits for the day. Which o...

A public health nurse is planning a community health promotion program for hypertension prevention. Which of the following interventions should the nurse include as a tertiary prevention strategy? Provide education about risk factors for hypertension. Conduct a hypertension screening clinic for the community. Teach clients who have a family history of hypertension how to monitor blood pressure. Implement an exercise program for clients who have hypertension. A school nurse is serving o...

1. A nurse is preparing to administer ipratropium by metered dose inhaler. What adverse effects should the nurse instruct the client to monitor for? The adverse effects that the nurse should teach the client to watch for when taking ipratropium is dry mouth and hoarseness. The nurse should teach the client to sip fluids and suck on sugar-free hard candies to help with the dry mouth and hoarseness. 2. A client has a new prescription for salmeterol. The nurse is teaching the client about adver...

What class of medication is amitriptyline and why is this medication used as an adjuvant medication for pain? • Therapeutic class: Antidepressant • Pharmacological class: Tricyclic Antidepressant (TCA) • Used as an adjuvant med for pain because it treats chronic pain syndromes, such as neuropathic pain, by potentiating both serotonin and norepinephrine in the CNS. A nurse is caring for a client prescribed the inhaled glucocorticoid beclomethasone (QVAR) for the treatment of asthma. W...

A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is effective? a. Absent Chvostek’s sign b. Improved cognition c. Decreased vomiting d. Cardiac arrhythmias absent 2.) A nurse is reviewing he laboratory results of a client who has a prescription for sodium polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse r...

1. A chest radiograph film is ordered for a child with suspected cardiac problems. The child’s parent asks the nurse, “What will the radiograph show about the heart?” What knowledge about the x-ray should the nurse include in the response to the parents? a. Bones of chest but not the heart b. Measurement of electrical potential generated from heart muscle c. Permanent record of heart size and configuration d. Computerized image of heart vessels and tissues ANS: C A chest radiograph w...

A nurse is caring for a client who is hospitalized and has expressive aphasia. The client's family reports that the nurse failed to obtain written informed consent before inserting an indwelling urinary catheter. Which of the following responses should the nurse make? "Procedures prescribed by the provider do not require consent." "This is a procedure that does not require written informed consent." • "You are right. I will discuss this issue with the charge nurse." "Would you mind s...

1. A nurse in an alcohol treatment facility is caring for a client who states, “My job is so stressful that the only way I can cope is to drink.” The nurse should recognize that the client is displaying which of the following defense mechanisms? A. Introjection (Unconscious adoption of the ideas or attitudes of others) B. Repression C. Rationalization D. Intellectualization Repression ● Unconsciously putting unacceptable ideas, thoughts, and emotions out of awareness ● ADAPTIVE US...

1. A nurse in a long term care facility notices a client who has alzheimers disease standing at the exit doors at the end of the hallway. The clients appears to be anxious and agitated. Which of the following actions should the nurse take? Escort the client to a quiet area on the nursing unit 2. A nurse is assisting with the plan of care for a client who has a continent urinary division. Which of the following interventions should the nurse plan to implement to facilitate urinary eliminati...