The surgeon enters a computerized order for a patient in the postoperative period after a unilateral thoracotomy for lung cancer. The order states: OOB in AM. Which action indicates that the nurse is following the surgeon's order?
The nurse:
a. Performs oral care
b. Assists the patient out of bed
c. Assists the patient with bathing
d. Changes the patient's operative dressings
ANS: B
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A 51-year-old woman has a diagnosis of multiple sclerosis and has been admitted to the hospital following an exacerbation of her symptoms. The progression of her disease has prompted her physician to prescribe glatiramer
Prior to her discharge home from the hospital, the nurse should emphasize what topic for health education? A) Aseptic technique for reconstituting and administering the drug B) Protection and maintenance of the patient's peripherally inserted central catheter (PICC) C) The importance of maintaining a low-fat diet while taking the drug D) The need for weekly laboratory testing for serum levels of glatiramer
The nursing student is preparing a student-oriented care plan. This type of care plan:
a. is a preplanned, preprinted guide for nursing care of clients with common needs. b. are concise documents that become a part of the client's medical record on discharge. c. is a comprehensive care plan that has great depth for teaching the process of planning care. d. is computer generated.
A client has been diagnosed with a deficiency of complement proteins. Which assessment is the item of highest priority for the nurse to perform?
a. Joint stiffness and range of motion b. Enlarged lymph nodes and night sweats c. Rhinorrhea and conjunctivitis d. Lung sounds, cough, and oxygen satura-tion
The nurse assesses a patient's endotracheal cuff pressure to be 22 mm Hg. The purpose for assessing the cuff pressure is to
1. check endotracheal tube placement. 2. facilitate a nasogastric tube feeding. 3. ensure adequate blood flow to the trachea and surrounding tissues. 4. determine if suctioning is needed.