The nurse will include which intervention for the patient newly admitted with cellulitis of the right foot?

Encourage frequent ambulation

Maintain foot in a dependent position.

Apply warm, moist heat

Wrap the foot snugly in the blanket

Answer and Explanation

The Correct Answer is C

A.   Ambulation may worsen the condition as it could increase swelling or spread infection.
B.   This may increase swelling and should generally be avoided in cellulitis.
C.   This helps to improve circulation and reduce swelling in cellulitis.
D.   Wrapping the foot tightly could exacerbate swelling and discomfort.

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Correct Answer is D

Explanation

A. Encourage the client to use his right hand when feeding himself: This would be inappropriate since the patient likely has impaired vision in the left field.
B. Provide a nonskid mat to alleviate plate movement: This may be helpful for safety, but it does not address the visual deficit.
C. Encourage the use of wide grip utensils: This may assist with fine motor skills but doesn't directly help with vision problems.
D. Remind the client to look for food on the left side of the tray: This is important because homonymous hemianopsia affects one visual field, and the nurse should encourage the patient to scan their environment to locate food.

A. Ventriculostomy B. Fiberoptic catheter C. Central line D. Transcranial Doppler

Correct Answer is A

Explanation

A. Ventriculostomy is considered the gold standard for measuring intracranial pressure (ICP). This procedure involves placing a catheter into the brain's ventricles to directly measure the pressure inside the skull.
B. Fiberoptic catheter can also be used for ICP measurement, but ventriculostomy is more accurate and allows for drainage of cerebrospinal fluid if needed.
C. Central line is used for venous access, not for measuring ICP.
D. Transcranial Doppler is used to assess blood flow in the brain, but not for direct ICP measurement.

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The nurse will include which intervention for the patient newly admitted with cellulitis of the right foot?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse caring for a client who had a right-sided stroke and is exhibiting homonymous hemianopsia when eating. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

Which method of measurement is the gold standard for obtaining intracranial pressures?

Correct Answer is A

Explanation

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