The client is 6 hours postoperative from a stapedectomy and prosthesis placement of the right ear
When taking the client's vital signs, a nurse observes that the client's right eyelid does not blink in coordination with the left eye and the right side of the client's mouth droops. What action should the nurse take? A. Apply oxygen.
B. Raise the head of the bed.
C. Notify the physician.
D. Document the finding as the only action.
C
The surgical procedure is performed in an area where cranial nerves VII, VIII, and X might be damaged by direct trauma or postoperative swelling. The nurse observes for and documents in-dications of such damage and notifies the physician, who determines if aggressive intervention is necessary.
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Which of the following behavior modifications should the nurse instruct a patient to accomplish to help reduce the risk factors for an occurrence of a stroke. (Select all that apply.)
a. Increase the intake of green, leafy vegeta-bles. b. Stop smoking. c. Control blood pressure. d. Increase physical activity.
Which of the following is a side effect of beta-adrenergic blockers?
A) Sedation B) Hyperglycemia C) Bradycardia D) Addiction
The physician makes a calculation error that leads to the patient receiving a serious medication error. This error was overlooked by the pharmacist and the nurse who administered the dose as ordered
What is true of the liability in this case? 1. It is solely the liability of the nurse who had the last opportunity to correct the error. 2. It is shared by all three of these professionals. 3. It is solely the liability of the physician who made the original calculation error. 4. It is shared by the physician and the pharmacist who dispensed the medication as written.
Which findings most concern the nurse that a client is experiencing sleep apnea? Select all that apply.
1. Frequent daily headaches 2. Sleeping with three pillows 3. Daytime sleepiness 4. Restless legs during long drives 5. Reports of choking when waking from sleep