This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: During a morning assessment, the nurse observes that the patient displays significant edema of both ... (Read 73 times)

Starlight

  • Hero Member
  • *****
  • Posts: 567
on: Jun 25, 2018
During a morning assessment, the nurse observes that the patient displays significant edema of both feet and ankles. Which statement best documents these findings?
 
  a. Pitting edema present in both feet and an-kles
  b. Edema in both feet and ankles approx-imately 4 mm deep
  c. 4 mm pitting edema quickly resolving
  d. Bilateral pitting edema in feet and ankles, 4 mm deep, resolving in 3 seconds

Question 2

The 79-year-old patient with bacterial pneumonia becomes increasingly restless, confused, and agitated. The patient's temperature is 100 F, and his pulse, blood pressure, and respirations are elevated since the last assessment 6 hours ago.
 
  What action should the nurse take first?
  a. Auscultate the patient's lungs.
  b. Assess the patient's oxygen saturation.
  c. Administer the mild sedative as ordered.
  d. Administer an ordered analgesic for dis-comfort.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Perkypinki

  • Sr. Member
  • ****
  • Posts: 339
Reply #1 on: Jun 25, 2018
Answer to Question 1

D
Edema should be recorded as to location, depth of pitting, and time for resolution.

Answer to Question 2

B
Outward signs of hypoxia vary in patients, but dyspnea, restlessness, and confusion are the most common signs. While blood gas analysis is the most reliable indicator, bedside assessment pulse oximetry is quick, noninvasive, and gives a snapshot of oxygen saturation. The nurse should auscultate the patient's lungs after obtaining the oxygen saturation. Medications for sedation or discomfort do not address the patient's current condition.


Starlight

  • Member
  • Posts: 567
Reply 2 on: Jun 25, 2018
Excellent

epscape

  • Member
  • Posts: 335
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

About 60% of newborn infants in the United States are jaundiced; that is, they look yellow. Kernicterus is a form of brain damage caused by excessive jaundice. When babies begin to be affected by excessive jaundice and begin to have brain damage, they become excessively lethargic.

Did you know?

By definition, when a medication is administered intravenously, its bioavailability is 100%.

Did you know?

Eating food that has been cooked with poppy seeds may cause you to fail a drug screening test, because the seeds contain enough opiate alkaloids to register as a positive.

Did you know?

Giardia is one of the most common intestinal parasites worldwide, and infects up to 20% of the world population, mostly in poorer countries with inadequate sanitation. Infections are most common in children, though chronic Giardia is more common in adults.

Did you know?

Every 10 seconds, a person in the United States goes to the emergency room complaining of head pain. About 1.2 million visits are for acute migraine attacks.

The liver in this photograph was from a deceased patient with an advanced state of cirrhosis. The liver in this photograph was from a deceased patient with an advanced state of cirrhosis.
A nurse communicates with her non–English-speaking patient through an interpreter A nurse communicates with her non–English-speaking patient through an interpreter
A patient with exophthalmos. A patient with exophthalmos.
Positioning the Patient in the Prone Position Positioning the Patient in the Prone Position
Role-Playing a Situation in Which a Patient Is from Another Culture Role-Playing a Situation in Which a Patient Is from Another Culture
Patient with rheumatoid arthritis. Patient with rheumatoid arthritis.
Video: Digestive chemicals - water, gastric acid, bile & bicarbonate

For a complete list of videos, visit our video library