To protect a patient from aspiration following a bronchoscopy, the nurse should keep the patient NPO for 2 hours until the:
a. patient is fully awake.
b. patient asks for a drink.
c. gag reflex has returned.
d. preoperative medication has worn off.
C
The nurse should not allow the patient to eat or drink after a bronchoscopy until the gag reflex has returned.
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The nurse is caring for a 90-year-old postoperative patient. The nurse notes that the oxygen saturation is frequently dropping below 90%. This is most likely related to:
a. prolonged use of a walker. b. poor fluid intake. c. weakened respiratory muscles. d. increased elasticity of costal cartilages.
An accident victim who presented to the Emergency Department 8 hours earlier begins having seizures. Toxicology reports indicate an abnormally high blood alcohol level. Based on this information, what drug does the nurse expect to administer?
1. Valproic acid (Depakote) 2. Gabapentin (Neurontin) 3. Lorazepam (Ativan) 4. Phenytoin (Dilantin)
A postoperative client is being transferred from the stretcher to the bed. Which of the following transfer techniques will be used to safety relocate this client? (Select all that apply.)
1. Use a padded transfer board. 2. Locate an extra transfer person on the side of the stretcher. 3. Lock the wheels on both the stretcher and the bed. 4. Keep the bed anchored against the back wall. 5. Slide the client first to the edge of the stretcher. 6. Use the count of five to move the client.
A patient's sibling says, "My brother has a mental illness, but the doctor ordered a functional magnetic resonance image (fMRI) test. That test is too expensive and will just increase the hospital bill." Select the nurse's best responses
Select all that apply. a. "Sometimes there are physical causes for psychiatric symptoms. This test will help us understand whether that is the situation." b. "Some mental illnesses are evident on fMRIs. This test will give information to help us plan the best care for your brother." c. "Tell me more about what kinds of tests your brother's health insurance plan covers." d. "It sounds like you do not truly believe your brother had a mental illness." e. "It would be better for you to discuss your concerns with the doctor."