What should a nurse include when caring for a patient after a hypophysectomy, during which the entire pituitary was removed?
a. Maintaining strict intake and output fluids
b. Keeping the patient flat in bed for the first 24 hours
c. Withholding analgesics to assess the level of consciousness
d. Providing mouth care with thorough cleansing of the oral cavity
A
With the removal of the entire pituitary gland, the patient will have no effective ADH and will excrete large amounts of urine. The patient is usually kept in a semi-Fowler position and is me-dicated as needed for pain. Because of the graft, mouth care is minimal, if provided at all.
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Which is the most appropriate guideline for a nurse who makes decisions about vaccines in the elderly?
A) Immunizations should be given until the person does not seem to respond to them anymore. B) Vaccines are more successful if the elderly person takes additional measures to improve their effectiveness. C) Vaccines can be less effective in the elderly because of age-related changes in the immune system in response to foreign antibodies. D) Immunizations should be continued although they may cause T-cell function to decline and result in a weaken response to their effectiveness.
A patient says, "I've been hearing about aromatherapy as part of treatment for serious illness. What do you think about me trying it?" Which nursing responses are indicated?
1. "Some studies have shown that using lavender oil can reduce anxiety." 2. "I would focus my energy on more traditional forms of healing." 3. "Other than jasmine oil, you are probably safe using aromatherapy." 4. "You should discuss this plan with your physician before purchasing anything." 5. "I know that some massage therapists use essential oils."
Which symptoms are expected in orchitis? (Select all that apply.)
a. Scrotal pain b. Dysuria c. Scrotal edema d. Priapism e. Penile discharge f. Inability to ejaculate
The nurse has applied a transparent dressing to facilitate débridement of the pressure ulcer. How often should the nurse change that dressing?
a. Every 6 days b. Every day c. Every 3-4 days d. Every 12 hours