A cleansing enema is ordered for a patient who is scheduled to have colon surgery. What is the rationale for this procedure?
A) Surgical patients routinely are given a cleansing enema.
B) Cleansing enemas are given before surgery at the patient's request.
C) There will be less flatus and discomfort postoperatively.
D) Peristalsis does not return for 24 to 48 hours after surgery.
D
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The nurse recommends a breathing technique to help a patient with chronic obstructive pulmonary disease (COPD) to empty the lungs of used air and to promote inhalation of adequate oxygen. This method of breathing is:
a. pursed-lip breathing. b. increased inspiration. c. vital capacity. d. decreased expiration.
The nurse is providing care to a client with a compromised immune system. Which independent nursing intervention is appropriate for the nurse to include in the client's plan of care?
A) Educating on the importance of a nutritious diet B) Administering corticosteroids, per order C) Prescribing prophylactic antibiotic therapy D) Recommending gene transfer therapy
When analyzing a client's electrocardiograph (ECG) tracing, the nurse observes that not all QRS complexes are preceded by a P wave. What is the nurse's interpretation of this observation?
a. The client has hyperkalemia causing irre-gular QRS complexes. b. Ventricular tachycardia is overriding the normal atrial rhythm. c. The client's chest leads are not making sufficient contact with the skin. d. Ventricular and atrial depolarizations are initiated from different sites.
A menopausal woman tells her nurse that she experiences discomfort from vaginal dryness during sexual intercourse, and asks, "What should I use as a lubricant?" The nurse should recommend:
1. Petroleum jelly. 2. A water-soluble lubricant. 3. Body cream or body lotion. 4. Less-frequent intercourse.