The nurse is assisting a postoperative patient in using an incentive spirometer. Which postoperative complication is the nurse attempting to avoid?

1. Atelectasis
2. Deep vein thrombosis
3. Hemorrhage
4. Pulmonary embolism


1
Rationale 1: Promoting lung expansion and systemic oxygenation of tissues is a goal in preventing atelectasis. Nursing care includes assisting with incentive spirometry.
Rationale 2: Deep vein thrombosis is not related to incentive spirometer use.
Rationale 3: Hemorrhage is not related to incentive spirometer use.
Rationale 4: Pulmonary embolism is not related to incentive spirometer use.

Nursing

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After opening the airway of a client with a complete airway obstruction, the nurse helps the client lie in the recovery position. Which of the following reasons explains the nurse's action?

A) To assess the spontaneous breathing of the client B) To maintain an open airway and prevent aspiration of fluid C) To allow the client to regain his or her strength D) To maximize ventilation to the lower airway

Nursing

The nurse is performing an admitting assessment on a patient who has been diagnosed with depression. What is the purpose of this process?

1. Determine mutual goals of care. 2. Identify patient information and history. 3. Establish and document the nursing diagnosis. 4. Establish a therapeutic nurse-patient relationship.

Nursing

At the present time, surrogate parenting is governed by which of the following?

a. State law b. Federal law c. Individual court decision d. Protective child services

Nursing

A nurse develops a plan of care for a child that includes patching the eye. This plan of care would be most appropriate for which condition?

A) Astigmatism B) Hyperopia C) Myopia D) Amblyopia

Nursing