The nurse clarifies that the stool softener is given as a part of routine post–myocardial infarction (MI) care in order to prevent:
a. bradycardia from straining at stool.
b. fluid retention from retained bowel con-tents.
c. respiratory difficulty from abdominal dis-tention.
d. discomfort from painful gas.
A
Bearing down or straining at stool can trigger bradycardia, whereas anal stretching can cause ta-chycardia.
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The patient's wound is being treated with vacuum-assisted wound closure (negative pressure therapy, or VAC)
The nurse notices that the edge of the dressing is loose and torn, the foam in the wound has expanded, and wound drainage is leaking through the loose edge. What is the best nursing action? A) Reinforce dressing with additional foam packing. B) Reinforce transparent adhesive dressing. C) Discontinue suction on the wound to prevent maceration. D) Completely redress the wound with new materials.
A young mother brings an infant to the pediatric clinic. The infant has had a fever and is pulling at the left ear. Based on this data, which disorder does the nurse suspect?
1. Sinusitis. 2. Otitis media. 3. Tonsillitis. 4. Otitis externa.
A newly promoted nurse manager would like staff to solve problems without relying on preconceived ideas. How should the manager role-model this ability?
1. When disagreements occur on the unit, the manager privately asks the dissenters to be silent about the issue at meetings. 2. Tell staff members that they must present one opinion regarding the solutions they desire. 3. Demonstrate a genuine desire to find our why there is dissention. 4. Develop "tunnel vision" when it comes to problems on the unit.
The physician has ordered olanzapine (Zyprexa) for a new patient. What laboratory test should be done before administration of olanzapine?
A) Blood glucose B) Urine specific gravity C) Cholesterol D) Hemoglobin and hematocrit