A client had an arthroscopy 1 hour ago on the left knee. The nurse finds the left lower leg to be pale and cool, with 1+/4+ pedal pulses. What action by the nurse is best?
a. Assess the neurovascular status of the right leg.
b. Document the findings in the client's chart.
c. Elevate the left leg on at least two pillows.
d. Notify the provider of the findings immediately.
Question 2A client is undergoing computed tomography (CT) of a joint. What action by the nurse is most important before the test?
a. Administer sedation as prescribed.
b. Assess for seafood or iodine allergy.
c. Ensure that the client has no metal on the body.
d. Provide preprocedure pain medication.
Question 3A hospitalized client's strength of the upper extremities is rated at 3. What does the nurse understand about this client's ability to perform activities of daily living (ADLs)?
a. The client is able to perform ADLs but not lift some items.
b. No difficulties are expected with ADLs.
c. The client is unable to perform ADLs alone.
d. The client would need near-total assistance with ADLs.
Question 4A client is admitted to the nursing unit after having a tympanoplasty. What activities does the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)
a. Administer prescribed antibiotics.
b. Keep the head of the client's bed flat.
c. Remind the client to lie on the operative side.
d. Remove the iodoform gauze in 8 hours.
e. Take and record postoperative vital signs.
Question 5A client is having a myelography. What action by the nurse is most important?
a. Assess serum aspartate aminotransferase (AST) levels.
b. Ensure that informed consent is on the chart.
c. Position the client flat after the procedure.
d. Reinforce the dressing if it becomes saturated.
Question 6A hospitalized client has Mnire's disease. What menu selections demonstrate good knowledge of the recommended diet for this disorder? (Select all that apply.)
a. Chinese stir fry with vegetables
b. Broiled chicken breast
c. Chocolate espresso cookies
d. Deli turkey sandwich and chips
e. Green herbal tea with meals
Question 7A client is scheduled for a stapedectomy in 2 weeks. What teaching instructions are most appropriate? (Select all that apply.)
a. Avoid alcohol use before surgery.
b. Blow the nose gently if needed.
c. Clean the telephone often.
d. Sneeze with the mouth open.
e. Wash the external ear daily.
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