Following a liver biopsy, the nurse should observe for hemorrhage and ensure that the patient is kept on bed rest for 24 hours. How should the nurse keep the patient for the first 1 to 2 hours?
a. On his or her left side
b. On his or her back
c. On his or her right side
d. In high Fowler position
ANS: C
The nurse should keep the patient on his or her right side for 1 to 2 hours.
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A client has open vocal cord paralysis. Which technique does the nurse teach the client to do to prevent aspiration?
a. Tilt the head back as far as possible when swallowing. b. Tuck the chin down when swallowing. c. Breathe slowly and deeply while swal-lowing. d. Keep the head very still and straight while swallowing.
A case manager at the local mental health center evaluates the clinical appropriateness of a patient's current level of care. To do this, the case manager will assess:
a. the type of service currently provided. b. the vigor of the patient to whom the service is provided. c. the type, amount, and level of care needed to achieve positive outcomes. d. whether the level of the patient's care is currently considered cost effective.
A client reports feelings of spiritual anguish and depression as a result of experiencing numerous somatic complaints that make the client feel like "everything is out of order."
Which of the following is the most appropriate NANDA nursing diagnosis for this person? 1. Energy-field disturbance 2. Powerlessness 3. Hopelessness 4. Anxiety
A patient who has recently started therapy on a statin drug asks a nurse, "How long will it take until I see an effect on my serum cholesterol?" Select the nurse's best response
a. "At least 6 months is required to see a change in blood levels." b. "Reductions are usually seen within 2 weeks." c. "Blood levels normalize immediately when the drug is initiated." d. "Cholesterol will not change, although triglycerides will fall in the first week."