The nurse caring for a client following craniotomy who has a supratentorial incision understands that the client should most likely be maintained in which of the following positions?
1. Prone position
2. Supine position
3. Semi-Fowler's position
4. Dorsal recumbent position
3
Rationale: In supratentorial surgery (surgery above the brain's tentorium), the client's head is usually elevated 30 degrees to promote venous outflow through the jugular veins. The client's head or the head of the bed is not lowered in the acute phase of care after supratentorial surgery. An exception to this position is the client who has undergone evacuation of a chronic subdural hematoma, but a physician's prescription is required for positions other than those involving head elevation. Additionally, the physician's prescription regarding positioning is always checked and agency procedures are always followed.
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A nurse has received a charging document. The nurse manager advises the nurse that this document means
a. a lawsuit charging nursing malpractice has been filed, and the nurse is being sued. b. someone filed a motion with the state board requesting a license revocation hearing. c. the board of nursing has cause to believe the nurse violated the state practice law. d. the nurse has been charged with a civil or criminal offense and must appear in court.
The nurse is teaching an older female patient how to manage urge incontinence at home. What is the first-line approach to reducing involuntary leakage of urine?
a. Insertion of a pessary b. Intermittent self-catheterization c. Bladder training d. Anticholinergic medication
Which most accurately characterize Medicare clients with acute myocardial infarctions (AMIs) who are treated in rural hospitals? (Select all that apply.)
A) Less likely to experience an opportunistic infection than those in urban hospitals B) Less likely to receive recommended treatments than those in urban hospitals C) More likely to have a second AMI within a month of the first than those in urban hospitals D) Have significantly higher adjusted 30-day post-AMI death rates from all causes than those in urban hospitals E) Experience faster recovery times than those in urban hospitals
A nurse is caring for a patient who requires treatment with a beta blocker for hypertension
The patient has a history of asthma. The nurse should anticipate that the prescriber will order which of the following antihypertensive medications, taking into consideration the patient's health history? a. Metoprolol (Lopressor) b. Propranolol (Inderal) c. Pindolol (Visken) d. Carteolol (Cartrol)