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Peripheral Vascular Disease, Data Collection - Answer 1. Bruit over femoral and
aortic arteries
Peripheral Arterial Disease, Monitoring Circulation - Answer 1. Walk 8 times a day
2. Avoid Cold
3. Monitor q 8 hours
4. Skin care with warm water
5. Mild Soap
Meningitis Expected findings - Answer -Nuchal Ridgity
-Red Macular Rash
-photophobia
-HA
-Avoid raising legs above level of the heart
-Avoid crossing legs, hip flexion
Head injury ICP expected finding * - Answer 1. Early sign Restlessness
2. Late sign Dilated Pupils
Benign Hypertrophy - Answer 1. While Catheter in place, will feel the urge to void
2. Calculate urine output every 2 hours
3. Should get up in a chair ASAP
4. Avoid heavy lifting
5. Avoid Sex/Intercourse 2-6 weeks
6. Expected output 150-200 ml every 3-4 hours
Cerebrovascular Accident - Answer 1. Eat in upright position / Swallow with head
and neck flexed slightly forward
2. Place food in back of mouth on unaffected side
3. Avoid extreme flexion or extension of the neck
4. Give sour/tart food
5. Meet with Speech Therapist
Legal Responsibilities Securing Client Valuables - Answer 1. Give money to Security
, Bacterial Viral and Fungal Infection, Nationally Notifiable Infectious Disease - Answer
1. E coli
Clients Understanding of Organ Donation - Answer 1. Must be made by patient
Spinal Cord Injury Client Referral - Answer 1. OTA
2. PT
3. Social Service
Living Will* - Answer 1. Express patient's wishes
Contraception Appropriate Use of Contraception - Answer 1. Can use spermicide
gel/cream
2. No male and female condoms
3. Refitted every 2 years/ Keep in place for 6hrs after intercourse
Contraception Appropriate Methods for an Adolescent - Answer 1. Injectable
Progestin (Depo Prevea)
Testicular Examination - Answer 1. Monthly after warm shower
Childhood Immunization Contraindication - Answer 1. Pregnancy
2. Allergies to gelatin
3. Can be contraindicated if child is sick
Breast Self-Examination - Answer 1. Following Menstrual Cycle Monthly a Week
After
Amputation Body Image Change - Answer 1. Monitor Anger,
2. Withdrawal
3. Sadness
4. Assist with residue limb Prepation
Phototherapy - Answer 1. Jaundice on Head Sclera
2. Maculopapular Rash
3. Dehydration
4. Green liquid stools
5. Feed every 3-4 hours
6. Vital Signs every 4 hours
7. Mask The Eyes
8. Keep Infants Undressed
9. Remove baby from light every 4 hours
Nursing Care of the Newborn Reinforcing Teaching about Breastfeeding - Answer 1.
6 to 8 Diapers a day
2. Will have loose pale yellow stools
3. Cover part of Areolar
Nursing Care of the Newborn Breastfeeding - Answer 1. 30-40 minutes a day
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