A nurse is caring for a client who has multiple leg fractures and is 24 hours post op
A nurse is caring for a client who has multiple leg fractures and is 24 hr postoperative following placement of skeletal traction. Which of the following actions should the nurse take? INSPECT THE PIN SITES AT LEAST EVERY 8 HOURS.
This is not recommended if the patient has facial fractures; Sternal rub - using the knuckles of a clenched fist, apply pressure along the sternum (Shah, 1999). The practice of pinching the patient and/or using a pinprick test is no longer recommended for assessing motor response and should not be used during a neurological evaluation.Your patient is 2 days post-op left knee surgery and needs to start ambulating with a walker. You untangle all their cords and IV tubing and start to walk with them down the hallway. The patient has a shuffling gait and states, "I'm afraid to put too much pressure on my left leg, I don't want to break open my stitches."
The client with confusion should be seen next. Confusion can be caused by lack of oxygen to the brain due to a circulation problem. The pulseless client with a penetrating head wound is seen last because there are multiple clients to be seen and care for this client would be futile. The client with a broken leg is nonurgent and can wait.A nurse is caring for a client who is prescribed mechanical ventilation. The client states that she does not want to undergo this treatment. The nurse should A. recognize that the client has a legal right to refuse treatment. B. verify the client's request with the client's power of attorney of health care. C. determine the client's living will ...