Answer to Question 1
C
Make sure you position the handgrips so the axillae do not support all patients' body weight. Pressure on the axillae increases risk to underlying nerves, which sometimes results in partial paralysis of the arm. You determine the correct position of the handgrips with the patient upright, supporting weight by the handgrips with the elbows slightly flexed (20 to 25 degrees). You veri-fy elbow flexion with a goniometer. When you have determined the height and placement of the handgrips, you again verify that the distance between the crutch pad and the patient's axilla is three to four finger widths.
Answer to Question 2
C
A medication interaction occurs when one medication modifies the action of another medication. Allergic symptoms vary, depending on an individual and the medication; they range from mild to severe. Sudden constriction of bronchiolar muscles, edema of the pharynx and larynx, and severe wheezing and shortness of breath all characterize severe or anaphylactic reactions. When a pa-tient's immune system causes abnormal reactions to a medication, the patient has a medication allergy. Some medications cause unpredictable effects, such as idiosyncratic reactions, in which a patient overreacts or underreacts to a medication or has a reaction different from what is ex-pected.
NURSE
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
Building competency in patient centered care
Patient teaching: heart assessment
Severe periodontitis in a patient with uncontrolled diabetes.
The nurse begins the general survey