What should the nurse do to minimize the potential for venous stasis?
a. Place pillows under the knee in a position of comfort
b. Assist patient to sit with feet flat on the floor
c. Assist with early ambulation
d. Perform gentle leg massage
Question 2When should the nurse offer prescribed analgesics to a patient who is 24 hours postoperative?
a. Only when the patient asks.
b. When the onset of pain is assessed.
c. Sparingly to avoid drug dependence.
d. Only when severe pain is assessed.
Question 3When providing the open method of treatment for a patient who is 52 years old with burns to the lower extremities, what would a nurse include in the nursing plan?
a. Change the dressing using good medical asepsis
b. Provide an analgesic immediately after the dressing change
c. Perform circulation checks every 2 to 4 hours
d. Keep the room temperature at 85 F (29.4 C) to prevent chilling
Question 4While turning a patient who had a bowel resection yesterday, the wound eviscerated. What is the initial nursing intervention?
a. Place the patient in the high Fowler's position.
b. Give the patient fluids to prevent shock.
c. Replace the dressing with sterile fluffy pads.
d. Apply a warm, moist normal saline sterile dressing.
Question 5The nurse has staged a pressure ulcer that has a shallow crater with a dry pink wound bed as a:
a. stage I
b. stage II
c. stage III
d. stage IV
Question 6In which location are guidelines for ensuring that all nursing interventions on the day of surgery completed and documented?
a. In the nurse's notes
b. In the anesthesia record
c. In the preoperative checklist
d. In the progress notes
Question 7Two weeks after a severe burn of over 20 of the body, the patient vomits bright red blood. Which condition is most likely?
a. Curling ulcer
b. Paralytic ileus
c. Hypoglycemia perforation of the stomach by the NG tube
d. Gastritis
Question 8A patient, age 27, sustained thermal burns to 18 of her body surface area. After the first 72 hours, the nurse will have to observe for the most common cause of burn-related deaths, which is:
a. shock.
b. respiratory arrest.
c. hemorrhage.
d. infection.