1. The nurse teaching a health awareness class identifies which situation as being
the highest risk factor for the development of a deep vein thrombosis
... [Show More] (DVT)?
- Pregnancy
- Inactivity
- Aerobic Exercise
- Tight Clothing - Inactivity
2. A DVT, or thrombus, may form as a result of venous stasis. It may lodge in a vein
and can cause venous occlusion. Inactivity is a major cause of venous stasis
leading to DVT. Pregnancy and tight clothing are also risk factors for DVT
secondary to inactivity. Aerobic exercise is not a risk factor for DVT.
3. A nurse has provided discharge instructions to a client who received a
prescription for a walker to use for assistance with ambulation. The nurse
determines that the teaching has been effective when the client does what?
- Picks up the walker and carries it for short distances
- Uses the walker only when someone else is present
- Moves the walker no more than 12 inches (30.5 cm)
4. in front of client during use
- States that the walker will be purchased on the way
5. home from the hospital - Moves the walker no more than 12 inches (30.5 cm) in
front of client during use
6. Following a surgery on the neck, the client asks the nurse why the head of the
bed is up so high. The nurse should tell the client that the high-Fowler position is
preferred for what reason?
- To avoid strain on incision
- To promote drainage of wound
- To provide stimulation for the client
- To reduce edema at the operative site - To reduce edema at the operative
site
7. This position prevents fluid accumulation in the tissue, thereby minimizing
edema. This position will neither increase nor decrease strain on the suture line.
Drainage from the wound will not be affected by this position. This position will
not affect the degree of stimulation.
8. What does the nurse recognize as the reason the faucet handles on the sinks in
a client's room are considered contaminated?- They are not in sterile areas
- They are touched by dirty hands when turning the
9. water on
- There are a large number of people who use them
10.each day
- Water encourages bacterial growth - They are touched by dirty hands
when turning the water on
11.Unwashed hands are considered contaminated and are used to turn on sink
faucets. Recontamination of washed hands may be prevented by using foot
pedals or a paper towel barrier when closing the faucets. They are not
considered contaminated because they are not in sterile areas; areas cannot be
sterile. It is unrelated to the number of people, but rather to being touched by
contaminated hands. Although bacterial growth is facilitated in moist
environments, this is not why sink faucets are considered contaminated [Show Less]