The nurse is caring for a patient who delivered by cesarean birth. The patient received a general anesthetic
To prevent or minimize abdominal distention, the nurse would encourage: Note: Credit will be given if all correct choices and no incorrect choices are selected. Select all that apply. 1. Increased intake of cold beverages.
2. Leg exercises every 2 hours.
3. Abdominal tightening.
4. Ambulation.
5. Eating a high-protein general diet.
2,3,4
Rationale 1: Increased intake of cold beverages would increase the distention through increase of gas and constipation.
Rationale 2: Leg exercises every 2 hours serve to prevent or minimize abdominal distention in a surgical patient who received a general anesthetic.
Rationale 3: Abdominal tightening serves to prevent or minimize abdominal distention in a surgical patient who received a general anesthetic.
Rationale 4: Ambulation serves to prevent or minimize abdominal distention in a surgical patient who received a general anesthetic.
Rationale 5: Eating a high-protein general diet would increase the distention through increase of gas and constipation.
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According to the code of ethics for LPN/LVNs, the basic obligation is to:
1. Conserve life and prevent disease. 2. Promote and protect the physical, mental, emotional, and spiritual health of the patient and family. 3. Fulfill all duties faithfully and efficiently. 4. Uphold the laws of the land.
The nurse is caring for a family whose infant was just born with anencephaly. What is the most important nursing intervention?
a. Implement measures to facilitate the attachment process. b. Help the family cope with the birth of an infant with a fatal defect. c. Prepare the family for extensive surgical procedures that will be needed. d. Provide emotional support so the family can adjust to the birth of an infant with problems.
Before a victim of sexual assault is discharged from the emergency department, the nurse should:
a. notify the victim's family to provide emotional support. b. offer to stay with the patient until stability is regained. c. advise the patient to try not to think about the assault. d. provide referral information verbally and in writing.
Directive behaviors help group members accomplish goals by
a. Giving directions b. Solving problems c. Setting time lines d. Listening