A patient is postoperative day 3 for surgical repair of an open abdominal wound and traumatic amputation of the right lower leg following a motorcycle crash. What is the highest priority nursing intervention? a) Assessing WBC count, temperature, and wound appearance b) Educating patient on safe bed-to-chair transfer procedures c) Administering pain medications within 1 hour of the patient’s request d) Obtaining dietary consultation for improved wound healing

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A patient is postoperative day 3 for surgical repair of an open abdominal wound and traumatic amputation of the right lower leg following a motorcycle crash. What is the highest priority nursing intervention?

a) Assessing WBC count, temperature, and wound appearance
b) Educating patient on safe bed-to-chair transfer procedures
c) Administering pain medications within 1 hour of the patient’s request
d) Obtaining dietary consultation for improved wound healing

 
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You are at the scene of an accident and find the victim has a bleeding lower leg wound. After flushing the wound with water and covering it with a clean dressing, you find the dressing has been saturated with blood. Which of the following would be the best action to take in this case? 1. Lower the extremity while applying pressure to the wound. 2. Take off the first dressing and apply another clean or sterile dressing. 3. Encircle the client’s ankle with your hands and apply pressure. 4. Reinforce the first layer of dressing with a second layer of dressing.

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You are at the scene of an accident and find the victim has a bleeding lower leg wound. After flushing the wound with water and covering it with a clean dressing, you find the dressing has been saturated with blood. Which of the following would be the best action to take in this case?

1. Lower the extremity while applying pressure to the wound.
2. Take off the first dressing and apply another clean or sterile dressing.
3. Encircle the client’s ankle with your hands and apply pressure.
4. Reinforce the first layer of dressing with a second layer of dressing.

 
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A nurse is conducting a heath history on a patient with a primary diagnosis of mitral stenosis. Which of the following disorders reported by the patient is the most common cause of mitral stenosis? a) Congestive heart failure b) Rheumatic endocarditis c) Atrial fibrillation d) Myocardial infarction

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A nurse is conducting a heath history on a patient with a primary diagnosis of mitral stenosis. Which of the following disorders reported by the patient is the most common cause of mitral stenosis?

a) Congestive heart failure
b) Rheumatic endocarditis
c) Atrial fibrillation
d) Myocardial infarction

 
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Target organ damage from untreated/undertreated hypertension includes which of the following? Select all that apply. a) Hyperlipidemia b) Stroke c) Diabetes d) Retinal damage e) Heart failure

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Target organ damage from untreated/undertreated hypertension includes which of the following? Select all that apply.

a) Hyperlipidemia
b) Stroke
c) Diabetes
d) Retinal damage
e) Heart failure

 
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