A client is scheduled for an appendectomy. What is the nurse's highest priority when planning preoperative teaching for this client?
a) The client should be encouraged to take food and fluids to prevent dehydration and malnutrition.
b) The client's skin should be assessed hourly.
c) Surgical wound infection is most likely to occur during the first postoperative day.
d) The client should begin coughing and deep-breathing exercises as soon as he's able to follow instructions.
Answer: d) The client should begin coughing and deep-breathing exercises as soon as he's able to follow instructions.
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A breech presentation is associated with:
a. Umbilical cord compression. b. More rapid labor. c. A high risk of infection. d. Maternal perineal trauma.
The nurse is administering a tuberculin skin test for a client. What is the nurse's understanding of the hypersensitivity response associated with this test? Select all that apply.
A) The test causes a release of lymphokines, which attract macrophages. B) Macrophages release lysozymes, resulting in local tissue damage. C) The antigen-presenting cell encounters a cytotoxic T-cell. D) Antigens invade the body and bind to antibodies in circulation. E) Antigen-antibody complexes activate complement.
The nurse is instructing a pregnant patient to consume a diet high in complete proteins. Which food item should the nurse recommend as an example of a complete protein?
A) A boiled or fried egg B) Green, leafy vegetables C) A slice of whole grain toast D) Applesauce or a whole apple
The nurse admitting a new resident to a long-term care facility is mindful that after the resident is assessed, a care plan must be written within
a. 1 day. b. 3 days. c. 5 days. d. 7 days.