11.  Falls in Older Adults are associated with: 

A postsurgical client is experiencing sudden onset of lower leg pain. On inspection, the nurse observes that the client’s left leg is visibly swollen and reddened. What is the nurse’s most appropriate action?

A nurse is assessing a new client who is diagnosed with PAD. The nurse is unsure if a pulse in the client’s left foot is present. How should the nurse proceed with this assessment?

A client has been admitted to the hospital after having a brain attack (stroke).  What predisposing factor in the client’s history places this client at risk for an embolic stroke?

You are the nurse caring for a client involved in a MVA who was unrestrained. The client was found to have a 6 cm intracerebral bleed in the occipital region and suffered multiple fractures with subsequent repairs to the pelvis, mandible, and right hip. Upon assessment, you find the client displaying signs of respiratory distress indicating brain stem involvement. Which illustration below best correlates with this client?

The school nurse has been called to the football field where player is immobile on the field after landing awkwardly on his head during a play. While awaiting an ambulance, what first action should the nurse perform?

The nurse is caring for a client who sustained a moderate head injury following a bicycle accident. The nurse’s most recent assessment reveals that the client’s respiratory effort has increased from 20 to 32. What is the nurse’s most appropriate response?

ORDERED:  Heparin 3.6 units/hr for treatment of acute deep vein thrombosis (DVT).  AVAILABLE: 200units/1000ml NS. How many ml/hr will you set the pump?     (List ml only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             

The client is receiving D5W l000 ml over 12 hours and the drip factor is l5 gtt/min. How many drops per minute will the client receive?

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