The nurse is caring for clients on a postoperative unit in the medical centre
The nurse is alert to the possibility that for 24 to 48 hours of the postoperative period, clients may experience which of the following symptoms as a result of the anaesthetic used during the surgery? a. Colitis
b. Stomatitis
c. Paralytic ileus
d. Gastrocolic reflex
C
Any surgery that involves direct manipulation of the bowel temporarily stops peristalsis. This condition, called paralytic ileus, usually lasts about 24 to 48 hours.
Colitis is inflammation of the colon. It is not a result of anaesthetic used during surgery.
Stomatitis is inflammation of the mouth. It is not caused by anaesthetic used during surgery.
The gastrocolic reflex is the peristaltic wave in the colon induced by entrance of food into the stomach. It is not a result of anaesthetic used during surgery.
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The nurse understands that the living will
1. Provide specific instructions about what medical treatment the client chooses to omit or refuse 2. Is the same as a healthcare proxy 3. Provides for a designated person to see that the client's wishes are honored when the client can no longer speak for him 4. Requires a physician's order
Choose the greatest value in each set:
a. 0.1 b. 0.001 c. 0.01 d. 1
The charge nurse is overheard yelling at a new graduate who mixed a tube feeding with the incorrect volume of water. What would be the expected outcome from this exchange?
1. The other staff will make sure that no errors occur. 2. The human resources department will be contacted. 3. The new graduate will hesitate to report errors in the future. 4. The charge nurse will create a guide sheet for all staff to use
A patient has been taking temazepam
(Restoril) for intermittent insomnia. She calls the nurse to say that when she takes it, she sleeps well, but the next day she feels "so tired." Which explanation by the nurse is correct? a. "Long-term use of this drug results in a sedative effect." b. "If you take the drug every night, this hangover effect will be reduced." c. "These drugs affect the sleep cycle, resulting in daytime sleepiness." d. "These drugs increase the activity of the central nervous system, making you tired the next day."