What information would the nurse include when educating a postsurgical client on the proper use of antiembolism stockings? (Select all that apply)

The impairment to blood flow if the stockings are too tight

The removal of the stocking only once daily for 30 minutes.

Skin hygiene and assessment to be done each time the stockings are removed

The need to wear the stocking when both in and out of bed

The measuring of the length and circumference of the leg to ensure proper fit.

Answer and Explanation

Correct Answer : A,C,D,E

A. The nurse should inform the client that if the stockings are too tight, they may impair blood flow rather than prevent it, which could increase the risk of complications such as pressure sores or circulatory issues.

B. While the stockings should be removed periodically, removing them only once daily for 30 minutes may not be sufficient for skin inspection and care. Best practice usually involves removing them more frequently, such as every 8 hours, to check for skin integrity.

C. Proper skin hygiene and regular assessment should be performed each time the stockings are removed to ensure there is no irritation, breakdown, or circulatory impairment.

D. Antiembolism stockings are designed to be worn both in and out of bed to maintain consistent pressure on the legs and reduce the risk of deep vein thrombosis (DVT).

E. Proper measuring of the leg is crucial to ensure that the stockings fit correctly, providing the necessary compression without being too tight or too loose.

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Correct Answer is C

Explanation

A. Hypernatremia, an elevated sodium level, does not cause Trousseau's or Chvostek's signs.

B. Hypermagnesemia, an elevated magnesium level, is not associated with positive Trousseau's and Chvostek's signs.

C. Hypocalcemia, a low calcium level, is commonly associated with positive Trousseau's and Chvostek's signs. Trousseau's sign is a carpopedal spasm induced by inflating a blood pressure cuff, while Chvostek's sign is facial twitching in response to tapping over the facial nerve. Both are indicative of neuromuscular irritability due to low calcium levels.

D. Hypokalemia, a low potassium level, does not cause these specific signs and is associated with different clinical manifestations.

A. BUN and creatinine levels decrease. B. Urine output is less than 400 mL per 24 hr. C. The glomerular filtration rate (GFR) recovers. D. Renal function is reestablished. E. Tachycardia

Correct Answer is B

Explanation

A. During the oliguric phase of acute kidney injury, BUN and creatinine levels typically increase due to reduced kidney function, not decrease.

B. The oliguric phase is characterized by significantly reduced urine output, often defined as less than 400 mL per 24 hours, indicating severe kidney impairment.

C. The GFR does not recover during the oliguric phase; it is significantly decreased, contributing to the accumulation of waste products in the blood.

D. Renal function is not reestablished during the oliguric phase; this occurs in later stages, such as the diuretic or recovery phase.

A nurse is caring for a client who is being admitted to the medical-surgical unit from the emergency department. The nurse is reviewing the client's medical records.

Exhibits


Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

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What information would the nurse include when educating a postsurgical client on the proper use of antiembolism stockings? (Select all that apply)

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Naxlex Comprehensive Predictor Exams

The nurse assessing a client hospitalized with a diagnosis of hypoparathyroidism notes positive Trousseau's and Chvostek's signs. The nurse determines that these findings most indicate which electrolyte imbalance?

Correct Answer is C

Explanation

A nurse is teaching a client who has acute kidney injury about the oliguric phase. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

What information would the nurse include when educating a postsurgical client on the proper use of antiembolism stockings? (Select all that apply)

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