A nurse, while checking a client's record, determines that intraspinal analgesia is contraindicated as a result of:
A. The postoperative state
B. Elevated prothrombin times
C. A history of cardiopulmonary complications
D. A diagnosis of advanced cancer
B
B. Recent anticoagulants may contraindicate the placement of epidural catheter because of the inability to apply pressure at the epidural insertion site.
A, C, and D. Certain conditions may make epidural analgesia the method of choice for pain control: postoperative states, clients with trauma or advanced cancer that is not responsive to other pain management modalities, and those predisposed to cardiopulmonary complications because of preexisting medical condition or surgery.
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In order to meet her nutritional needs while being treated for a traumatic brain injury, a patient in the intensive care unit has had a percutaneous endoscopic gastrostomy (PEG) tube placed
What nursing responsibility related to this intervention should the nurse prioritize? A) Teaching the patient's family to manage the PEG tube and the patient's feedings B) Administering a hypertonic solution between feedings C) Aspirating gastric contents 15 minutes after each feeding D) Confirming tube placement on a regular basis
The minimal information necessary to meet information demands of nursing practice is known by the acronym ____________________
Fill in the blank(s) with correct word
A patient with depression recently lost 8 pounds. After only a few bites the patient refuses to eat more, saying, "I'm full. All that food makes me sick just to look at it."
The most effective way for the nurse to help increase the patient's dietary intake would be to: a. provide a high-calorie liquid diet. b. serve six small, calorie-dense meals daily. c. take the patient to the hospital cafeteria for meals. d. have the patient's family bring some favorite foods from home.
A nurse assesses an 85-year-old Hispanic woman. The client states that her husband was punished by God. To which of the following illnesses is the woman most likely referring?
A) Alcohol abuse B) Fainting C) Posttraumatic stress disorder (PTSD) D) Voodoo