The nurse notes that insufflation was used on a patient who has had an endoscopic examination. What care should the nurse provide for the patient during the recovery period after the procedure?
a. Have the patient ambulate as soon as she is able.
b. Encourage 1 to 2 L of fluids.
c. Have the patient lie flat for several hours.
d. Keep the patient NPO for 6 hours.
ANS: C
The CO2 remaining after completion of the examination travels to the highest level of the body before being absorbed, so lying flat for a few hours after the examination may decrease discomfort. Fluids, ambulation, and remaining NPO will not help reduce discomfort.
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When a nurse will be in direct contact with a client's body fluids, which of these statements about use of protective equipment is TRUE?
a. Gloves are optional, but a gown is required. b. Hands should be cleansed before and after gloves are applied. c. Gown, mask, and goggles are required. d. Sterile gloves are required for any client contact.
A patient, being treated for multiple injuries in the intensive care unit, had been NPO for several days. While attempting to provide oral nourishment, the patient complains of early satiety, has a large emesis, and develops a fever
These assessment findings could indicate which of the following to the nurse? 1. fluid intolerance 2. electrolyte imbalance 3. gastric ulcer 4. gut failure
Which of the following is included in a full liquid diet?
A. Cottage cheese B. Yogurt C. Poached eggs D. Cooked cereal
The patient's heart rhythm shows an inverted P wave with a PR interval of 0.06 seconds. The heart rate is 54 beats per minute. The nurse recognizes the rhythm as a junctional escape rhythm, and understands that the rhythm is due to the:
a. loss of sinus node activity. b. increased rate of the AV node. c. increased rate of the SA node. d. decreased rate of the AV node.