The nurse will include which intervention for the patient newly admitted with cellulitis of the right foot?

Encourage frequent ambulation

Maintain foot in a dependent position.

Apply warm, moist heat

Wrap the foot snugly in the blanket

Answer and Explanation

The Correct Answer is C

A.   Ambulation may worsen the condition as it could increase swelling or spread infection.
B.   This may increase swelling and should generally be avoided in cellulitis.
C.   This helps to improve circulation and reduce swelling in cellulitis.
D.   Wrapping the foot tightly could exacerbate swelling and discomfort.

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Correct Answer is D

Explanation

A. Encourage the client to use his right hand when feeding himself: This would be inappropriate since the patient likely has impaired vision in the left field.
B. Provide a nonskid mat to alleviate plate movement: This may be helpful for safety, but it does not address the visual deficit.
C. Encourage the use of wide grip utensils: This may assist with fine motor skills but doesn't directly help with vision problems.
D. Remind the client to look for food on the left side of the tray: This is important because homonymous hemianopsia affects one visual field, and the nurse should encourage the patient to scan their environment to locate food.

A. Managing sedation B. Monitoring volume status C. Completing hourly endotracheal suctioning D. Ensuring proper ventriculostomy transducer levels E. Elevating the head of the bed 30°

Correct Answer is ["A","B","D","E"]

Explanation

A. Managing sedation helps prevent agitation and decreases metabolic demands, which can exacerbate ICP.
B. Monitoring volume status is essential to prevent fluid imbalances that can worsen ICP.
C. Completing hourly endotracheal suctioning is not appropriate for this patient. Excessive suctioning can cause increased ICP and should be done cautiously.
D. Ensuring proper ventriculostomy transducer levels is critical for accurate measurement of ICP.
E. Elevating the head of the bed 30° helps improve venous drainage and reduces ICP.

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The nurse will include which intervention for the patient newly admitted with cellulitis of the right foot?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse caring for a client who had a right-sided stroke and is exhibiting homonymous hemianopsia when eating. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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Correct Answer is ["A","B","D","E"]

Explanation

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