To promote wound healing in a patient recovering from a carotid endarterectomy, in which of the following positions should the patient be placed?
1. on the operative side with head of bed elevated 30 degrees.
2. on the non-operative side with head of bed elevated 30 degrees.
3. supine with the neck in neutral position.
4. in the patient's position of comfort.
2
Rationale: Placing the patient on the non-operative side with the head of bed elevated 30 degrees will minimize postoperative edema and prevent stress on the incision. All of the other positions will place undue stress on the incision and increase the risk of postoperative swelling and complications.
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A nurse is preparing to administer a Schedule II medication to a client. Which actions are part of this process? (Select all that apply.)
a. Cosign the medication with a physician. b. Witness any wasted medication with another registered nurse. c. Access the medication from a single locked cabinet. d. Ensure that two nurses check the dosage. e. Ensure that two nurses sign the medication record. f. Assess the client's response to the medication.
The history of school nursing can be traced back to 1902, when Lillian Wald was working in a New York City public school. She viewed school nursing services as a way to decrease which problem?
A) Nutrition deficiencies B) Dental cavities C) Excessive absenteeism D) Seasonal allergies
A client with trichomoniasis is to receive metronidazole (Flagyl). The nurse instructs the client to avoid which of the following while taking this drug?
A) Alcohol B) Nicotine C) Chocolate D) Caffeine
In Trendelenburg's position:
a. The head of the bed is raised 30 degrees b. The head of the bed is lowered and the foot of the bed is raised c. The head of the bed is raised and the foot of the bed is lowered d. The head of the bed is elevated 45 to 90 degrees