Answer to Question 1
D
The physician is preparing to use infiltration anesthesia by injecting the local anesthetic directly into the immediate area of surgery. Epinephrine can be used in some cases but should never be used in areas supplied by end arteries, such as the penis, toes, fingers, nose, or ears, because re-striction of blood flow in these areas can result in gangrene. Injectable agents are appropriate for this procedure. The nurse should not draw up the medication as requested, because the combina-tion of agents can harm the patient. Seizure precautions are not necessary.
Answer to Question 2
B
This patient is showing signs of iron deficiency anemia, as manifested by tachycardia and pallor. Because this patient's blood pressure is low, the anemia probably has occurred secondary to blood loss, a common occurrence with hip replacement surgery. The first response should be to obtain an H&H to assess the anemia. GI hemorrhage is not a concern in this patient; black stools are an expected effect of oral iron administration. A stool guaiac is not indicated. If the patient has blood loss that is causing hypotension, an isotonic fluid bolus and packed red blood cells (PRBCs) are indicated to treat this.
Nurse bees tending to brood in cells both open and capped with beeswax.
Testing Visual Fields by Confrontation: The nurse and patient should be approximately at an eye to e
Photograph of an occupational therapist assisting a patient with learning independence in activities
Physical therapist assisting a patient to walk in the parallel bars.
Hubba Hubba Nurse Smiley
NURSE CARING BEHAVIORS AS