The nurse is assessing a client on admission to the hospital. The client's leg appears as shown below:
What action by the nurse is best?
a.
Assess the client's ankle-brachial index.
b.
Elevate the client's leg above the heart.
c.
Obtain an ice pack to provide comfort.
d.
Prepare to teach about heparin sodium.
Question 2A client presents to the emergency department with a severely lacerated artery. What is the priority action for the nurse?
a. Administer oxygen via non-rebreather mask.
b. Ensure the client has a patent airway.
c. Prepare to assist with suturing the artery.
d. Start two large-bore IVs with normal saline.
Question 3A nurse is caring for a client who weighs 220 pounds and is started on enoxaparin (Lovenox). How much enoxaparin does the nurse anticipate administering?
(Record your answer using a whole number.) _____ mg
Question 4A client has been bedridden for several days after major abdominal surgery. What action does the nurse delegate to the unlicensed assistive personnel (UAP) for deep vein thrombosis (DVT) prevention? (Select all that apply.)
a. Apply compression stockings.
b. Assist with ambulation.
c. Encourage coughing and deep breathing.
d. Offer fluids frequently.
e. Teach leg exercises.
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