The nurse is providing an education session regarding mobility for a client who has experienced a myocardial infarction 10 days ago.
While reviewing for this educational session, the nurse should recognize that one of the following teaching points listed below would not be appropriate to discuss with this client?
A)
The reduced circulation of an individual who has been on bed rest can cause blood clots to form in the legs.
B)
The individual's heart, which has been consistently lying down, actually has to work harder than when standing up.
C)
An individual who has been on bed rest has a faster heart beat, and as a result, there can be an increase in his blood pressure.
D)
An individual staying in bed can experience excess fluid volume that may result in pitting edema of the lower extremities.
Question 2
About 30 minutes following the morning medication pass, the nurse's aide informs the nurse that one of the patients on their team is complaining of hot sweats.
The aide also states that his temperature is now 101.5 F. Knowing that some medications can cause hyperthermia, the nurse reviews his medications. From the following patient list, which patient is at high risk for developing an elevated temperature?
A)
Patient with hypertension being treated with Prinivil (Lisinopril).
B)
Suicidal patient who overdosed on his monoamine oxidase (MOA) inhibitor.
C)
Postoperative patient receiving Oxycodone (OxyContin) for his pain.
D)
Patient with C. difficile receiving Vancocin (Vancomycin) IV every 6 hours.
A nurse communicates with her non–English-speaking patient through an interpreter
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Client and therapist positioning for foot reflexology.
Testing patellar reflex, client in a supine position