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Stuvia.com - The Marketplace to Buy and Sell your Study Material 7. A nurse on a medical-surgical unit is caring for a group of clients. Which of the following findings should the nurse identify as a safety hazard? a) ...

Stuvia.com - The Marketplace to Buy and Sell your Study Material 7. A nurse on a medical-surgical unit is caring for a group of clients. Which of the following findings should the nurse identify as a safety hazard? a) An assistive personnel places a weight-sensitive sensor mat on the mattress beneath the client’s buttocks. b) An assistive personnel raises all four side rails of a client’s bed before leaving the room. c) A client who has bilateral wrist restraints has a capillary refill less than 2 seconds. d) A client who has a transcutaneous electrical nerve stimulation unit reports a buzzing sensation at the application site. 8. A nurse is caring for a client who is 2 days postoperative following a below-the-knee amputation. Which of the following statements by the client should the nurse identify as indicating an acceptance of the limb loss? a) “I stay awake at night because I keep thinking about my leg.” b) “I need to learn how to perform a dressing change on my leg.” c) “I know my family means well, but I don’t want visitors seeing my leg right now.” d) “I am going to have to find someone who can take care of my leg at home.” 9. A nurse on a medical-surgical unit is collecting data from a client who is postoperative following abdominal surgery. The client’s BP was 126/72 mm Hg 15 min ago. The nurse now finds that the client’s BP is 176/96 mm Hg. Which of the following actions should the nurse make? a) Measure the client’s BP in the other arm. b) Use a narrower cuff to repeat the BP measurement. c) Deflate the cuff faster when repeating the bp measurement. d) Request a prescription for an antihypertension medication. 10. A nurse is assisting with the admission of a client who has streptococcal pharyngitis. Which of the following precautions should the nurse make? a) Have the client’s visitors put on a gown before entering the room. b) Escort the client to a room with a negative airglow. c) Prohibit fresh flowers and plants in the client’s room. d) Wear a surgical mask when giving the client direct care.

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