A patient has heart failure. His physician's orders include complete bed rest. The nurse knows that this order means he
a. is encouraged to rest as much as possible.
b. is confined to bed but may assume responsibility for all of his personal care.
c. is confined to bed but is allowed to go to the bathroom as needed.
d. must remain as quiet as possible, with any task requiring physical effort done for him.
D
Complete bed rest: Lowering oxygen requirements of the body systems with head of the bed elevated to 45 degrees to reduce myocardial oxygen demand and decrease circulating volume returning to the heart.
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The nursing care plan of a patient with a diffuse axonal injury (DAI) would involve which of the following considerations?
a. Neurologic assessments should be performed only once a shift. b. The patient will need a computed tomography scan for definitive diagnosis of the injury. c. Blood pressure and temperature elevations are common. d. The patient is at risk for volume overload because of syndrome of inappropriate antidiuretic hormone.
A woman is scheduled to have a postcoital test. What information would you give her concerning this?
A) She should douche before coming to the clinic. B) It will be scheduled immediately after her menstrual flow. C) She can expect no pain from the procedure. D) Her sexual partner should use a condom for 3 days afterward.
A nurse says, "What step would you like to take next to resolve this issue?" The patient stands up and shouts, "You are so controlling! You want me to do everything your way." What is the likely basis of the patient's behavior?
a. Projection b. Dissociation c. Transference d. Emotional catharsis
A patient recovering from a closed head injury has a urine specific gravity of 1.010 g/mL. The previous intake and output totals were 1200 mL intake and 10,000 mL output. Which prescription from the healthcare provider should the nurse question for this patient?
A. 3% normal saline at 100 mL per hour B. Desmopressin (Minirin) 0.2 mg by mouth daily C. Computed tomography scan of head D. Oral fluid restriction of 800 mL per day