Answer to Question 1
D
These are signs and symptoms of phlebitis and should be treated with a warm moist pack to in-crease blood flow to the area. The IV has been discontinued, so an arm board for stabilization is unnecessary. Elevation of the arm would be helpful to reduce swelling. A cool compress would be indicated for other issues related to IV infusion problems, such as extravasation.
Answer to Question 2
D
The patient is experiencing the spastic phases of paralysis that occurs as the cord adjusts to injury. The family members may interpret these spasms as a return of voluntary limb function and an indicator of impending complete recovery. First, the nurse should explain that this movement is not purposeful and an expected finding that often occurs in patients with spinal cord injuries. The nurse should not describe this finding as wonderful news. While it is important to avoid sti-mulating spasms when moving the patient and the technique involves avoiding direct contact with the muscles, the family could misunderstand the nurse's teaching as an accusation that someone's touch caused this movement. While the spinal cord is adjusting to injury, this state-ment is vague enough that the family may not realize that the movement is not purposeful.
The nurse conducts the health history as the first step in the nursing assessment
The approval of a new drug is a four-stage process: (1) preclinical investigation, (2) clinical inve
This engraving by William Russell Birch shows Congress Hall (left), which was occupied by Congress f
Abdominal thrusts are delivered with a firm thrust into the patient’s abdomen with an upward ...
Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 1)