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 A

Explanation

Choice A reason: Nail polish should generally be removed before surgery to allow the pulse oximeter to function properly, but it is not as critical as removing dentures.

Choice B reason: Dentures should be removed before surgery to prevent aspiration and other complications during anesthesia.

Choice C reason: Giving dentures to the family is appropriate after they have been removed, so this does not warrant intervention.

Choice D reason: It is standard procedure to get a new set of vital signs before surgery, so this statement is correct and does not warrant intervention.

A. Nurse self-awareness. B. Trust. C. Limit setting. D. Vague communication to decrease feelings of inferiority.

Correct Answer is D

Explanation

Choice A reason: Nurse self-awareness is crucial in providing care for individuals with personality disorders to avoid countertransference.

Choice B reason: Trust is a fundamental component of the nurse-client relationship and is necessary for effective care.

Choice C reason: Limit setting is essential for maintaining professional boundaries and providing structure in the therapeutic relationship.

Choice D reason: Vague communication is not therapeutic and can lead to misunderstandings and increased feelings of inferiority, which is not conducive to treatment.

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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

The nurse is assisting a coworker in preparing a patient for surgery. Which statement by the coworker should warrant intervention by the nurse?

Correct Answer is A

Explanation

Nursing care for people with personality disorders includes all the following except:

Correct Answer is D

Explanation

A patient states to the nurse, "I just know something bad is going to happen to me." Which type of anxiety is the patient experiencing?

For the patient with antisocial personality disorder, which of the following behaviors would be the most difficult for the patient to comply with?

The nurse is collecting data on a patient with minor chronic venous disease. What findings are anticipated?

A resident returns to the long-term care center after a right total hip replacement. The nurse should reinforce teaching for maintaining which of the following postoperative leg positions?

The 3 main types of Phobias as identified by DSM-5 include: (select all that apply)

Which of these would the nurse state to describe the postoperative phase of surgery to the patient during preoperative teaching?

The mental status examination takes place during which part of the nursing process?

Mr. L, who has a severe fear of needles, is hospitalized on your medical unit. The laboratory technician enters to draw blood for the routine CBC, and Mr. L begins to cry out, "Get away from me! I can't breathe! I'm having a heart attack!" What should be your first response to Mr. L?