1. A nurse is assessing for compartment syndrome in a client who has a short leg cast. Which of the following findings should the nurse identify as manifestation of this condition?
a. Bounding pedal pulse
b. Capillary
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1. A nurse is assessing for compartment syndrome in a client who has a short leg cast. Which of the following findings should the nurse identify as manifestation of this condition?
a. Bounding pedal pulse
b. Capillary refill less than 2 seconds
c. Pain that increases with passive movement
d. Areas of warmth on the cast
2. A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Which of the following statements made by the client reflects an understanding of the teaching?
a. “I will need to take antibiotics for 1 year.”
b. “My partner will need to take an antiviral medication.” c. “My joints ache because I have Lyme disease.”
d. “I bruise easily because I have Lyme disease.”
3. A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The amount available is oral solution 125 mg/5 mL. How many mL should the nurse administer?
a. 24
4. A nurse is caring for a client who has an arterial line. Which of the following actions should the nurse take?
a. Flush the line before administering antibiotics
b. Position the client in Trendelenburg to obtain measurements.
c. Have the client bear down when readings are obtained d. Place a pressure bag around the flush solution.
5. A nurse is updating the plan of care for a client who is receiving chemotherapy. Which of the following findings should the nurse identify as the priority?
CONTINUED..........
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