When performing a neurovascular check, a nurse should do which of the following? Select all that apply.
1. Ask the patient if he or she is experiencing numbness, burning, or tingling in the affected limb.
2. Test sensation of the affected and unaffected limbs by touching each with a paper clip.
3. Ambulate the affected limb to check for mobility.
4. Ask the patient to move the fingers or toes of the affected extremity.
5. Test capillary refill in the nailbeds of the fingers or toes distal to the surgical site or cast.
Question 2
During a postoperative assessment, a nurse determines that the patient could be hemorrhaging. Place the following nursing actions in the appropriate order (14).(Enter the number of each step in the proper sequence, do not use commas).
1. Take the vital signs every 15 minutes.
2. Administer intravenous (IV) fluids as ordered by a physician.
3. Administer oxygen via mask or nasal cannula.
4. Position the patient in low Fowler position with knees flexed.
Nurse-patient interaction; nonverbal communication
The nurse cares for the postop client in the postanesthesia care unit (PACU).
APPLYING A STERILE GOWN AND PERFORMING CLOSED GLOVING 4
Select of Primary and Secondary Procedures
Performing a Gram Stain
Performing Venipuncture Using the Vacutainer Method