MED NUR251 RN Question Trainer 6 Answers

MED NUR251 RN Question Trainer 6 Answers The nurse returns to the nurse's station after making client rounds and finds four phone messages. Which of the following messages should the nurse return FIRST? 1. A client with hepatitis A who states, "My arms and legs are itching." 2. A client with a cast on the right leg who states, "I have a funny feeling in my right leg." 3. A client with osteomyelitis of the spine who states, "I am so nauseated that I can't eat." 4. A client with arthritis who states, "I am having trouble sleeping at night." Strategy: Eliminate the most stable clients. (1) caused by accumulation of bile salts under the skin; treat with calamine lotion and antihistamines (2) correct—may indicate neurovascular compromise; requires immediate assessment (3) requires follow-up but not highest priority (4) requires assessment but not the highest priority  Following total hip arthroplasty, an elderly client is ordered to begin ambulation with a walker. Which of the following statements by the nurse is BEST? 1. "Sit in a low chair for ease in getting up to use the walker." 2. "Make sure rubber caps are in place on all four legs of the walker." 3. "You will begin weight bearing on the affected hip soon." 4. "Practice tying your own shoes before you begin ambulating." Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) full weight bearing or flexion of the hip greater than 90° should be avoided to prevent dislocation of prosthesis (2) correct—intact rubber caps should be present on walker legs to prevent accidents (3) full weight bearing or flexion of the hip greater than 90° should be avoided to prevent dislocation of prosthesis (4) flexion of the hip greater than 90° should be avoided  A client comes to the hospital at term in the early stages of labor. A diagnosis of complete placenta previa is made. It is MOST important for the nurse to take which of the following actions?