a nurse is planning care for a client who is receiving heparin to treat a deep vein thrombosis of the left lower leg. which of the following interventions should the nurse include in the plan of care?
elevate the affect
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a nurse is planning care for a client who is receiving heparin to treat a deep vein thrombosis of the left lower leg. which of the following interventions should the nurse include in the plan of care?
elevate the affected leg
ambulation should be encouraged
a nurse is teaching a group of guardians about child safety measures. which of the following statements by a guardian indicates an understanding of the teaching?
I should have my child avoid sun exposure between 10 am and 2 pm
a home health nurse is providing teaching about infection prevention to a client who has cancer and is receiving chemotherapy. Which of the following statements by the client indicates an understanding of the teaching?
I will walk for short distances throughout the day
a nurse is providing dietary teaching to the parents of a 6 month old infant. which of the following instructions should the nurse include?
Introduce new foods one at a time over 5 to 7 days
a charge nurse is planning care for a client who has mechanical restraints in place. which of the following interventions should the nurse include in the plan?
Provide a staff member to stay with the client continuously
can be physically or using an audiovisual device
need to document every 15-30 minutes, a new prescription should be in every 4 hrs for adults, every 3 hrs for 9-17 years and every hour for those younger
a community health nurse is assisting with the development of a disaster management plan. the nurse should include which of the following nursing responsibilities in the disaster response stage of the plan?
performing a rapid needs assessment
a nurse manager is assisting with the orientation of a newly licensed nurse. which of the following actions by the nurse requires the nurse manager to intervene?
tells the hospital chaplain a clients diagnosis
a nurse is caring for a client who is in labor at 39 weeks of gestation. during the second stage of labor, the nurse observes early deceleration on the monitor tracing. which of the following actions should the nurse take?
continue observing the fetal heart rate
these are an expected finding
a nurse manager is planning to make changes to the current scheduling system on the unit. to facilitate the staff's acceptance of this change, which of the following actions should the nurse manager take first?
provide information about scheduling issues to the staff
unfreezing stage - increase understanding of why change is needed
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