The nurse is caring for a patient with venous stasis ulcers. What actions should the nurse take?

Instruct the patient to wear constrictive clothing.

Encourage the patient to keep legs in a dependent position.

Encourage frequent ambulation.

Apply compression stockings.

Answer and Explanation

The Correct Answer is D

Choice A reason: Instructing the patient to wear constrictive clothing is incorrect, as it can worsen venous stasis ulcers by impeding blood flow.

Choice B reason: Encouraging the patient to keep legs in a dependent position is not recommended, as elevation helps in reducing venous pressure.

Choice C reason: Frequent ambulation is encouraged to promote blood circulation and prevent stasis.

Choice D reason: Applying compression stockings is a standard care practice to help reduce venous pressure and prevent fluid from pooling in the legs.

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Correct Answer is D

Explanation

Choice A reason: Setting consequences just before the behavior occurs does not provide clear expectations and boundaries for the patient.

Choice B reason: Setting consequences after the behavior is done may not effectively prevent the behavior and can lead to inconsistent enforcement.

Choice C reason: Waiting for complaints before setting consequences can lead to a reactive rather than proactive approach to care.

Choice D reason: Consequences should be clearly communicated when the limit is set to establish clear boundaries and expectations, which is essential in managing patients with personality disorders.

A. Increasing coughing B. Reducing anxiety C. Increasing blood pressure D. Increasing the client's respiratory rate

Correct Answer is B

Explanation

Choice A reason: Opioid analgesics do not typically increase coughing; they may actually suppress cough reflexes.

Choice B reason: Opioid analgesics are known to have a calming effect, which can help reduce anxiety in postoperative patients.

Choice C reason: Opioids can lead to decreased blood pressure, not an increase.

Choice D reason: Opioids typically decrease the respiratory rate, which is a potential side effect that needs to be monitored.

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The nurse is caring for a patient with venous stasis ulcers. What actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When setting limits with patients with personality disorders, the consequences of violating those limits should be set at which time?

Correct Answer is D

Explanation

A nurse is caring for a client during the immediate postoperative period following thoracic surgery. When administering an opioid analgesic for pain, the nurse should explain that the medication should have which of the following effects?

Correct Answer is B

Explanation

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