In planning preoperative teaching for a patient undergoing a Roux-en y gastric bypass as treatment for morbid obesity the nurse places the highest priority on:
a) Discussing the necessary postoperative modifications in lifestyle
b) Teaching the patient proper coughing and deep breathing techniques
Ans: b) Teaching the patient proper coughing and deep breathing techniques
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A 63-year-old male patient has just been diagnosed with Parkinson's disease. The nurse is teaching the patient and his family about dietary practices related to Parkinson's disease. What risk is a priority for the nurse to address?
A) Fluid overload and drooling. B) Aspiration and anorexia. C) Choking and diarrhea. D) Dysphagia and constipation.
The nurse anticipates that the baby of a mother who has abused cocaine will exhibit what symptoms during the first day of life?
a. Irritability, fussiness, and feeding difficulties b. Muscle rigidity, lethargy, and absent bowel sounds c. Diminished reflexes, sleepiness, and hypo-thermia d. Jitteriness, decreased reflexes, and fever
When conducting a physical examination of the skin, hair, and nails, the nurse notes the age of the patient. Why is this information important to the nurse?
1. It alerts the nurse to expect age-related changes. 2. It validates that skin changes in the older population are pathologic. 3. It reminds the nurse that scaly, dry skin is more common in young adults. 4. It reinforces the concept that age is the most significant risk factor for cancer.
MC A ventilator-dependent student joins the school and does not need a personal care attendant. Before providing care to the student, the nurse should
A. Review the student's Individualized Health Care Plan (IHP) for other aspects of care that the student may need in addition to tracheostomy care. B. Ask to have a joint conference with the parents, teachers, and school administrators about caring for this student. C. Teach the teacher how to provide appropriate tracheostomy care. D. Research tracheostomy-suctioning procedures.