A client with severe esophageal varices is preparing for a transjugular intrahepatic portal systemic shunt (TIPS) insertion. What preprocedure teaching should be included for this client?
A. "You will be discharged home after you are fully awake."
B. "You will receive sedation, but the procedure may still be painful."
C. "Your liver will function normally within 8 hours of having the shunt placed."
D. "This procedure is considered a major surgery and will require general anesthesia."
B
This procedure is performed in the radiology department under conscious sedation. However, the client is instructed that, in spite of sedation, pain still may be experienced.
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The most important nursing intervention for the patient who has received an epidural narcotic is
a. Monitoring respiratory rate hourly b. Administering analgesics as needed c. Monitoring blood pressure every 4 hours d. Assessing the level of anesthesia
The priority nursing care associated with an oxytocin (Pitocin) infusion is
a. Measuring urinary output b. Increasing infusion rate every 30 minutes c. Monitoring uterine response d. Evaluating cervical dilation
The nurse caring for a burn client would monitor the client's stools for occult blood as assessment for development of
a. bleeding caused by bowel distention. b. gastric irritation related to smoke. c. intestinal ileus. d. stress ulcers.
Initial treatment of simple strains and sprains uses the RICE formula, which means:
a. regular iced compression of extremity b. radiological examination, isotonic movement, continuity, and edema c. rest, ice, compression, and elevation d. restrain, immobilize, comply with treatment, and eliminate causative factors